Healthcare Provider Details

I. General information

NPI: 1174193858
Provider Name (Legal Business Name): ROSEMANS IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 LATROBE DR STE 450
CHARLOTTE NC
28211-1361
US

IV. Provider business mailing address

3020 RODMAN ST
CHARLOTTE NC
28205-7642
US

V. Phone/Fax

Practice location:
  • Phone: 704-890-0727
  • Fax:
Mailing address:
  • Phone: 704-890-0727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: DAMARA DANYELE ROSEMAN
Title or Position: OWNER/COO
Credential:
Phone: 704-890-0727