Healthcare Provider Details

I. General information

NPI: 1740888437
Provider Name (Legal Business Name): AROSE HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3374 STONE PATH WAY
POWDER SPRINGS GA
30127-5329
US

IV. Provider business mailing address

3374 STONE PATH WAY
POWDER SPRINGS GA
30127-5329
US

V. Phone/Fax

Practice location:
  • Phone: 404-720-5385
  • Fax:
Mailing address:
  • Phone: 404-720-5385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICTORIA BURNS
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-720-5385