Provider Demographics
NPI:1356301121
Name:WHITE ROSE CARE
Entity type:Organization
Organization Name:WHITE ROSE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-684-8965
Mailing Address - Street 1:8368 CAMPHOR DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-6831
Mailing Address - Country:US
Mailing Address - Phone:352-684-8965
Mailing Address - Fax:352-684-3990
Practice Address - Street 1:8368 CAMPHOR DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-6831
Practice Address - Country:US
Practice Address - Phone:352-684-8965
Practice Address - Fax:352-684-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF001385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care