=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467610295
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROSES NOTHING BUT ROSES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2008
-----------------------------------------------------
Last Update Date | 05/29/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2 SEAVIEW COURT #1434
-----------------------------------------------------
City | BAYONNE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-437-3276
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 SEAVIEW COURT #1434
-----------------------------------------------------
City | BAYONNE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-437-3276
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. ROSEMARIE PORCH
-----------------------------------------------------
Credential | CHHA MA
-----------------------------------------------------
Telephone | 201-437-3276
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------