Provider Demographics
NPI:1720573322
Name:WHITE ROSE HOMECARE SERVICES
Entity Type:Organization
Organization Name:WHITE ROSE HOMECARE SERVICES
Other - Org Name:WHITE ROSE HOMECARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-459-7903
Mailing Address - Street 1:13129 N 19TH ST APT 216
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-3748
Mailing Address - Country:US
Mailing Address - Phone:813-459-7903
Mailing Address - Fax:
Practice Address - Street 1:13129 N 19TH ST APT 216
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3748
Practice Address - Country:US
Practice Address - Phone:813-459-7903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care