Healthcare Provider Details

I. General information

NPI: 1144500232
Provider Name (Legal Business Name): ROSAIRE'S QUALITY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 08/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 NW 165TH STREET RD SUITE 305A
NORTH MIAMI BEACH FL
33169-6304
US

IV. Provider business mailing address

540 NW 165TH STREET RD SUITE 305A
NORTH MIAMI BEACH FL
33169-6304
US

V. Phone/Fax

Practice location:
  • Phone: 786-286-7510
  • Fax: 305-945-3552
Mailing address:
  • Phone: 786-286-7510
  • Fax: 305-945-3552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number15566
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number15566
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number15566
License Number StateFL

VIII. Authorized Official

Name: MRS. ROSAIRE OLIVIER
Title or Position: MANAGER
Credential:
Phone: 786-286-7510