Healthcare Provider Details

I. General information

NPI: 1629941265
Provider Name (Legal Business Name): ROSE HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30211 AVENIDA DE LAS BANDERAS, SUITE200 OFFICE 297
RANCHO SANTA MARGARITA CA
92688-2147
US

IV. Provider business mailing address

27960 CABOT RD APT 516
LAGUNA NIGUEL CA
92677-1285
US

V. Phone/Fax

Practice location:
  • Phone: 949-607-7884
  • Fax: 949-607-7884
Mailing address:
  • Phone: 949-607-7884
  • 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: MS. GHAZAL HOSSEINI
Title or Position: CEO
Credential:
Phone: 949-607-7884