Healthcare Provider Details

I. General information

NPI: 1518968106
Provider Name (Legal Business Name): ROSA'S FIRST QUALITY HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E RANDOL MILL RD SUITE 100
ARLINGTON TX
76011-5819
US

IV. Provider business mailing address

306 E RANDOL MILL RD SUITE 100
ARLINGTON TX
76011-5819
US

V. Phone/Fax

Practice location:
  • Phone: 817-461-0154
  • Fax: 817-275-9792
Mailing address:
  • Phone: 817-461-0154
  • Fax: 817-275-9792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number004927
License Number StateTX

VIII. Authorized Official

Name: MS. BALINDA ANTOINE
Title or Position: OWNER/CEO
Credential:
Phone: 817-461-0154