=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881467157
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROPHE HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/30/2023
-----------------------------------------------------
Last Update Date | 10/30/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17337 VENTURA BLVD STE 107
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91316-3971
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-942-4603
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5410 QUAKERTOWN AVE APT 107
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91364-2523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-330-8757
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COMPLIANCE MANAGER
-----------------------------------------------------
Name | NELLY M. NAMUGAMBE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-942-4603
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------