Provider Demographics
NPI:1720563018
Name:ROLANDO HAUS LLC
Entity Type:Organization
Organization Name:ROLANDO HAUS LLC
Other - Org Name:ROLANDO HAUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CINDERELLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-302-7360
Mailing Address - Street 1:3855 CHEROKEE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-5089
Mailing Address - Country:US
Mailing Address - Phone:830-660-8522
Mailing Address - Fax:512-738-8053
Practice Address - Street 1:871 MAYBERRY ML
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6845
Practice Address - Country:US
Practice Address - Phone:830-660-8522
Practice Address - Fax:830-857-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00000000000000000000Medicaid