Provider Demographics
NPI:1861197089
Name:VOP ARBOR ROSE, LLC
Entity type:Organization
Organization Name:VOP ARBOR ROSE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:TARABOCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-882-4580
Mailing Address - Street 1:12500 SE 2ND CIR STE 205
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6030
Mailing Address - Country:US
Mailing Address - Phone:360-213-1136
Mailing Address - Fax:
Practice Address - Street 1:6033 E ARBOR AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6100
Practice Address - Country:US
Practice Address - Phone:480-654-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility