MEDICARE: ROSA'S FIRST QUALITY HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	004927	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518968106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSA'S FIRST QUALITY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	306 E RANDOL MILL RD
Second Line	:	SUITE 100
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5819
Country	:	US
Telephone Number	:	817-461-0154
Fax Number	:	817-275-9792

Provider Business Practice Location Address
First Line	:	306 E RANDOL MILL RD
Second Line	:	SUITE 100
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5819
Country	:	US
Telephone Number	:	817-461-0154
Fax Number	:	817-275-9792

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MS. BALINDA ANTOINE
Credential	:
Telephone Number	:	817-461-0154

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/26/2023

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