Provider Demographics
NPI:1821682956
Name:BEACON OF ROSES CARERS
Entity Type:Organization
Organization Name:BEACON OF ROSES CARERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-585-2462
Mailing Address - Street 1:6913 WAUNAKEE CIR
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-8520
Mailing Address - Country:US
Mailing Address - Phone:602-585-2462
Mailing Address - Fax:262-546-5466
Practice Address - Street 1:6913 WAUNAKEE CIR
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-8520
Practice Address - Country:US
Practice Address - Phone:262-302-0460
Practice Address - Fax:262-546-5466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care