Provider Demographics
NPI:1518643006
Name:ROSE HOME CARE SERVICE LLC
Entity Type:Organization
Organization Name:ROSE HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZAKARIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HUSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-609-0282
Mailing Address - Street 1:9700 E ILIFF AVE APT D40
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3941
Mailing Address - Country:US
Mailing Address - Phone:720-609-0282
Mailing Address - Fax:
Practice Address - Street 1:9700 E ILIFF AVE APT D40
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-3941
Practice Address - Country:US
Practice Address - Phone:720-609-0282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health