Provider Demographics
NPI:1811595283
Name:ROTEX HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ROTEX HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROTIMI
Authorized Official - Middle Name:ADETUNJI
Authorized Official - Last Name:LADIPO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:404-784-9066
Mailing Address - Street 1:1847 CANOE RDG NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-6222
Mailing Address - Country:US
Mailing Address - Phone:404-784-9066
Mailing Address - Fax:
Practice Address - Street 1:1847 CANOE RDG NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-6222
Practice Address - Country:US
Practice Address - Phone:404-784-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health