Provider Demographics
NPI:1619350436
Name:ROLEN CARES, LLC
Entity Type:Organization
Organization Name:ROLEN CARES, LLC
Other - Org Name:SENIOR FRIEND HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMENKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-746-9432
Mailing Address - Street 1:1111 CLOQUET AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CLOQUET
Mailing Address - State:MN
Mailing Address - Zip Code:55720-1655
Mailing Address - Country:US
Mailing Address - Phone:218-727-1111
Mailing Address - Fax:218-720-6819
Practice Address - Street 1:1111 CLOQUET AVE STE 3
Practice Address - Street 2:
Practice Address - City:CLOQUET
Practice Address - State:MN
Practice Address - Zip Code:55720-1655
Practice Address - Country:US
Practice Address - Phone:218-727-1111
Practice Address - Fax:218-720-6819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care