MEDICARE: ROSARY GROUP HOMES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
4	251B00000X	Case Management Agency
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1568941615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSARY GROUP HOMES INC

Provider Business Mailing Address
First Line	:	16360 PARK TEN PL STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5047
Country	:	US
Telephone Number	:	281-686-8421
Fax Number	:	281-600-1602

Provider Business Practice Location Address
First Line	:	16360 PARK TEN PL STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5047
Country	:	US
Telephone Number	:	281-686-8421
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	ROSALINE I IGBOKWE
Credential	:
Telephone Number	:	281-686-8421

Provider Enumeration Date	:	08/09/2018
Last Update Date	:	08/21/2023

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Directions to “ROSARY GROUP HOMES INC ” Practice Location

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