Provider Demographics
NPI:1023494234
Name:LUCIA ROSARIO
Entity type:Organization
Organization Name:LUCIA ROSARIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:SR
Authorized Official - Credentials:HHA11289
Authorized Official - Phone:301-500-7638
Mailing Address - Street 1:2113 PLYERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4227
Mailing Address - Country:US
Mailing Address - Phone:301-500-7638
Mailing Address - Fax:
Practice Address - Street 1:2113 PLYERS MILL RD
Practice Address - Street 2:2113 PLYERS MILL RD
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-500-7638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11289261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care