Provider Demographics
NPI:1881567766
Name:THE ROSE OF SHARON ADULT HOME CARE LLC
Entity type:Organization
Organization Name:THE ROSE OF SHARON ADULT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RODRIGUE
Authorized Official - Middle Name:MBAYA
Authorized Official - Last Name:TSHABOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-698-2391
Mailing Address - Street 1:5618 FRASER CIR APT 119
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-4414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5618 FRASER CIR APT 119
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-4414
Practice Address - Country:US
Practice Address - Phone:608-698-2391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty