Healthcare Provider Details

I. General information

NPI: 1902739659
Provider Name (Legal Business Name): ROSE HOMECARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 N MAIN ST
MARION SC
29571-3028
US

IV. Provider business mailing address

326 N MAIN ST
MARION SC
29571-3028
US

V. Phone/Fax

Practice location:
  • Phone: 843-954-1490
  • Fax: 843-954-1490
Mailing address:
  • Phone: 843-954-1490
  • Fax: 843-954-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSETTA MCFADDEN
Title or Position: OWNER
Credential:
Phone: 843-954-1490