Provider Demographics
NPI:1922666593
Name:ROSEWOOD HOME CARE
Entity Type:Organization
Organization Name:ROSEWOOD HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQULYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINTHECOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-775-8227
Mailing Address - Street 1:2050 ELLISON WAY NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-8290
Mailing Address - Country:US
Mailing Address - Phone:678-778-5227
Mailing Address - Fax:
Practice Address - Street 1:2050 ELLISON WAY NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-8290
Practice Address - Country:US
Practice Address - Phone:678-778-5227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care