Healthcare Provider Details

I. General information

NPI: 1942165196
Provider Name (Legal Business Name): ROSINA'S HOUSE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4508 SCARLET OAK LN
BALTIMORE MD
21229-2483
US

IV. Provider business mailing address

4508 SCARLET OAK LN
BALTIMORE MD
21229-2483
US

V. Phone/Fax

Practice location:
  • Phone: 202-768-1419
  • Fax:
Mailing address:
  • Phone: 202-768-1419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY RENE JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential: EXECUTIVE DIRECTOR
Phone: 202-768-1419