Healthcare Provider Details

I. General information

NPI: 1285502641
Provider Name (Legal Business Name): RED ROSE HOME SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25245 BUNTING CIR
LAND O LAKES FL
34639-5535
US

IV. Provider business mailing address

25245 BUNTING CIR
LAND O LAKES FL
34639-5535
US

V. Phone/Fax

Practice location:
  • Phone: 813-834-3534
  • Fax: 813-553-5993
Mailing address:
  • Phone: 813-834-3534
  • Fax: 813-553-5993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MAYELIN GONZALEZ
Title or Position: ADMINISTRATOR
Credential: APRN
Phone: 813-834-3534