Provider Demographics
NPI:1356882716
Name:ROZHOME CARE
Entity type:Organization
Organization Name:ROZHOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOREMEKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-226-0366
Mailing Address - Street 1:8891 WATSON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2258
Mailing Address - Country:US
Mailing Address - Phone:714-226-0366
Mailing Address - Fax:714-226-0766
Practice Address - Street 1:8891 WATSON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2258
Practice Address - Country:US
Practice Address - Phone:714-226-0366
Practice Address - Fax:714-226-0766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304700175251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health