Provider Demographics
NPI:1578748687
Name:ROSY HOME HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:ROSY HOME HEALTH CARE SERVICES INC.
Other - Org Name:ROSY IN-HOME SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECITIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:SUNNY
Authorized Official - Last Name:UZUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-479-1323
Mailing Address - Street 1:3724 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-1334
Mailing Address - Country:US
Mailing Address - Phone:512-479-1323
Mailing Address - Fax:
Practice Address - Street 1:3724 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1334
Practice Address - Country:US
Practice Address - Phone:512-479-1323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007053251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10059014OtherHMO - AMERIGROUP RHC