Healthcare Provider Details
I. General information
NPI: 1891528600
Provider Name (Legal Business Name): ROSMED HOME HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1530 WILSON BLVD STE 650
ARLINGTON VA
22209-2455
US
IV. Provider business mailing address
1530 WILSON BLVD STE 650
ARLINGTON VA
22209-2455
US
V. Phone/Fax
- Phone: 571-259-2116
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCISCA
ERONDU
Title or Position: ADMINISTATOR
Credential:
Phone: 571-259-2116