Provider Demographics
NPI:1578170593
Name:ROSE OF SHARON HOME HEALTHCARE COMPANY
Entity Type:Organization
Organization Name:ROSE OF SHARON HOME HEALTHCARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUFOLAKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLUWASANMI
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:216-773-3888
Mailing Address - Street 1:321 CLAYMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1729
Mailing Address - Country:US
Mailing Address - Phone:216-773-3888
Mailing Address - Fax:
Practice Address - Street 1:321 CLAYMORE BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-1729
Practice Address - Country:US
Practice Address - Phone:216-773-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSE OF SHARON HOME HEALTHCARE COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health