Provider Demographics
NPI:1902985195
Name:LIN ROS BEST HOME CARE NO 2
Entity Type:Organization
Organization Name:LIN ROS BEST HOME CARE NO 2
Other - Org Name:LIN ROS BEST HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QMRP LICENSEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS CHEMISTRY
Authorized Official - Phone:562-867-0792
Mailing Address - Street 1:6127 FAUST AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-1109
Mailing Address - Country:US
Mailing Address - Phone:562-867-0792
Mailing Address - Fax:562-867-0154
Practice Address - Street 1:6127 FAUST AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-1109
Practice Address - Country:US
Practice Address - Phone:562-867-0792
Practice Address - Fax:562-867-0154
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIN ROS BEST HOME CARE NO 2
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-06
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities