Provider Demographics
NPI:1831725365
Name:ROSE HOUSE LLC
Entity type:Organization
Organization Name:ROSE HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BARBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORUSAKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-403-4382
Mailing Address - Street 1:1118 GALLOWAY ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6424
Mailing Address - Country:US
Mailing Address - Phone:202-403-4382
Mailing Address - Fax:
Practice Address - Street 1:1118 GALLOWAY ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6424
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:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities