Provider Demographics
NPI:1902397656
Name:REST ASSURED HOME CARE LLC
Entity Type:Organization
Organization Name:REST ASSURED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LNA
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DE ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-748-8447
Mailing Address - Street 1:PO BOX 1593
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-1593
Mailing Address - Country:US
Mailing Address - Phone:603-715-8574
Mailing Address - Fax:603-715-8578
Practice Address - Street 1:28 JONATHAN LN
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-3716
Practice Address - Country:US
Practice Address - Phone:603-715-8574
Practice Address - Fax:603-715-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04270253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care