Provider Demographics
NPI:1689218182
Name:ROSE'S AMERICAN HOMES L.L.C
Entity Type:Organization
Organization Name:ROSE'S AMERICAN HOMES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ONOME
Authorized Official - Middle Name:
Authorized Official - Last Name:AKISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-254-2285
Mailing Address - Street 1:PO BOX 760506
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-0506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25083 ROSS DR
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3363
Practice Address - Country:US
Practice Address - Phone:248-254-2285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty