Healthcare Provider Details
I. General information
NPI: 1861367120
Provider Name (Legal Business Name): ANOTHER ROSE CARE-WEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2025
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8510 SCENIC RIDGE WAY
BALL GROUND GA
30107-5111
US
IV. Provider business mailing address
8510 SCENIC RIDGE WAY
BALL GROUND GA
30107-5111
US
V. Phone/Fax
- Phone: 678-371-7265
- Fax: 678-371-7265
- Phone: 678-371-7265
- Fax: 678-371-7265
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
ANN
ROSE
Title or Position: DIRECTOR
Credential: PHD, MPH, MSN-FNP
Phone: 678-371-7265