Provider Demographics
NPI:1861916074
Name:BED OF ROSES HOME HEALTH SERVICES
Entity type:Organization
Organization Name:BED OF ROSES HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERMANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-606-5597
Mailing Address - Street 1:P.O. BOX 240
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-0405
Mailing Address - Country:US
Mailing Address - Phone:281-606-5597
Mailing Address - Fax:
Practice Address - Street 1:12118 W BELLFORT ST APT B
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-1356
Practice Address - Country:US
Practice Address - Phone:281-606-5597
Practice Address - Fax:281-606-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-29
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty