Provider Demographics
NPI:1548914294
Name:ROSE HOME CARE LLC
Entity type:Organization
Organization Name:ROSE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTER NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-532-0291
Mailing Address - Street 1:888 COUNTY ROAD D W STE 213A
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-2007
Mailing Address - Country:US
Mailing Address - Phone:651-797-2372
Mailing Address - Fax:651-797-2372
Practice Address - Street 1:888 COUNTY ROAD D W STE 213A
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-2007
Practice Address - Country:US
Practice Address - Phone:651-797-2372
Practice Address - Fax:651-797-2372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care