Provider Demographics
NPI:1518968106
Name:ROSA'S FIRST QUALITY HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ROSA'S FIRST QUALITY HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BALINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-461-0154
Mailing Address - Street 1:306 E RANDOL MILL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-5819
Mailing Address - Country:US
Mailing Address - Phone:817-461-0154
Mailing Address - Fax:817-275-9792
Practice Address - Street 1:306 E RANDOL MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5819
Practice Address - Country:US
Practice Address - Phone:817-461-0154
Practice Address - Fax:817-275-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004927251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX024284401Medicaid
TX024284401Medicaid