Provider Demographics
NPI:1740014869
Name:ROWENA CARE HOME
Entity type:Organization
Organization Name:ROWENA CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:VIOLET
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:MUBEEZI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-541-4028
Mailing Address - Street 1:1001 TAMARACK CT
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-5323
Mailing Address - Country:US
Mailing Address - Phone:301-541-4028
Mailing Address - Fax:
Practice Address - Street 1:1367 ROWENA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-2654
Practice Address - Country:US
Practice Address - Phone:301-541-4028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility