Provider Demographics
NPI:1750966354
Name:ARDEN ROSE HOME CARE, INC.
Entity type:Organization
Organization Name:ARDEN ROSE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, AGENCY ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SORENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:815-245-3704
Mailing Address - Street 1:1303 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-2758
Mailing Address - Country:US
Mailing Address - Phone:224-241-8158
Mailing Address - Fax:224-333-0221
Practice Address - Street 1:1303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-2758
Practice Address - Country:US
Practice Address - Phone:224-241-8158
Practice Address - Fax:224-333-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care