Healthcare Provider Details

I. General information

NPI: 1336066976
Provider Name (Legal Business Name): ROSEMARY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 E BROADWAY RD STE 6
TEMPE AZ
85282-1736
US

IV. Provider business mailing address

2111 E BROADWAY RD STE 6
TEMPE AZ
85282-1736
US

V. Phone/Fax

Practice location:
  • Phone: 480-228-2745
  • Fax:
Mailing address:
  • Phone: 480-228-2745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM A ELRAYAH
Title or Position: OWNER/MANAGER
Credential:
Phone: 480-228-2745