Provider Demographics
NPI:1811183510
Name:MORNING ROSE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:MORNING ROSE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUZIRAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:214-553-8862
Mailing Address - Street 1:888 S GREENVILLE AVE STE 139
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5045
Mailing Address - Country:US
Mailing Address - Phone:214-553-8862
Mailing Address - Fax:214-553-8826
Practice Address - Street 1:888 S GREENVILLE AVE STE 139
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5045
Practice Address - Country:US
Practice Address - Phone:214-553-8862
Practice Address - Fax:214-553-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012014251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747282Medicare Oscar/Certification