MEDICARE: ROSAIRE'S QUALITY CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	15566	FL
2	251S00000X	Community/Behavioral Health Agency	15566	FL
3	251C00000X	Developmentally Disabled Services Day Training Agency	15566	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144500232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSAIRE'S QUALITY CARE, INC

Provider Business Mailing Address
First Line	:	540 NW 165TH STREET RD
Second Line	:	SUITE 305A
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6304
Country	:	US
Telephone Number	:	786-286-7510
Fax Number	:	305-945-3552

Provider Business Practice Location Address
First Line	:	540 NW 165TH STREET RD
Second Line	:	SUITE 305A
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6304
Country	:	US
Telephone Number	:	786-286-7510
Fax Number	:	305-945-3552

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. ROSAIRE OLIVIER
Credential	:
Telephone Number	:	786-286-7510

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	08/22/2011

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