Provider Demographics
NPI:1184078438
Name:ROSIE ANTHONY CARE MANAGEMENT INC.
Entity type:Organization
Organization Name:ROSIE ANTHONY CARE MANAGEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:MILLAN
Authorized Official - Last Name:TARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:626-962-3511
Mailing Address - Street 1:824 W CAMERON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4136
Mailing Address - Country:US
Mailing Address - Phone:626-962-3411
Mailing Address - Fax:626-962-7002
Practice Address - Street 1:824 W CAMERON AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4136
Practice Address - Country:US
Practice Address - Phone:626-962-3411
Practice Address - Fax:626-962-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198602062310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility