Provider Demographics
NPI:1801154802
Name:ROSE HOUSE LLC
Entity type:Organization
Organization Name:ROSE HOUSE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BABIE
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:ORUSAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-403-4382
Mailing Address - Street 1:755 NICHOLSON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2707
Mailing Address - Country:US
Mailing Address - Phone:202-403-4382
Mailing Address - Fax:
Practice Address - Street 1:755 NICHOLSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2707
Practice Address - Country:US
Practice Address - Phone:202-403-4382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty