Provider Demographics
NPI:1962379073
Name:ROSATI GROUP HOME
Entity type:Organization
Organization Name:ROSATI GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ROSATI BOOKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAMBIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-226-4008
Mailing Address - Street 1:4218 N GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63107-1806
Mailing Address - Country:US
Mailing Address - Phone:314-534-6624
Mailing Address - Fax:314-535-4394
Practice Address - Street 1:4218 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107-1806
Practice Address - Country:US
Practice Address - Phone:314-534-6624
Practice Address - Fax:314-535-4394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. PATRICK CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty