Provider Demographics
NPI:1134802408
Name:ROSINA ASSISTED LIVING LLC
Entity type:Organization
Organization Name:ROSINA ASSISTED LIVING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINAH
Authorized Official - Middle Name:RAMO
Authorized Official - Last Name:MOKHONWANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-450-1286
Mailing Address - Street 1:3352 E ZION WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5176
Mailing Address - Country:US
Mailing Address - Phone:520-450-1286
Mailing Address - Fax:
Practice Address - Street 1:3352 E ZION WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5176
Practice Address - Country:US
Practice Address - Phone:520-450-1286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility