Healthcare Provider Details
I. General information
NPI: 1598931842
Provider Name (Legal Business Name): ROSEMEL HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27850 VILLA CANYON RD
CASTAIC CA
91384-3732
US
IV. Provider business mailing address
27850 VILLA CYN RD
CASTAIC CA
91384-3732
US
V. Phone/Fax
- Phone: 661-295-0297
- Fax: 661-295-0297
- Phone: 661-295-0297
- Fax: 661-295-0297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251K00000X |
| Taxonomy | Public Health or Welfare Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ROSE
M.
LO VERME
Title or Position: CEO
Credential: RN
Phone: 661-295-0297