Provider Demographics
NPI:1811358328
Name:ROSSYBRIGHT HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ROSSYBRIGHT HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIZITO
Authorized Official - Middle Name:F
Authorized Official - Last Name:TEMBU
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:703-647-3886
Mailing Address - Street 1:5680 KING CENTRE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5757
Mailing Address - Country:US
Mailing Address - Phone:703-647-3886
Mailing Address - Fax:703-647-3601
Practice Address - Street 1:5680 KING CENTER DR.
Practice Address - Street 2:SUITE 600
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-3401
Practice Address - Country:US
Practice Address - Phone:703-647-3886
Practice Address - Fax:702-647-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health