Provider Demographics
NPI:1619797693
Name:ROSA'S CARING HEART, LLC
Entity type:Organization
Organization Name:ROSA'S CARING HEART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAFRENCHEE
Authorized Official - Middle Name:LILLIAN
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-948-2054
Mailing Address - Street 1:609 SW SUMMERSET WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:FL
Mailing Address - Zip Code:32340-4464
Mailing Address - Country:US
Mailing Address - Phone:850-673-9941
Mailing Address - Fax:850-242-7072
Practice Address - Street 1:2873 NW US 221
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-4531
Practice Address - Country:US
Practice Address - Phone:850-948-2054
Practice Address - Fax:850-242-7072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility