MEDICARE: ROSEMANS IN-HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	374U00000X	Home Health Aide
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1174193858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEMANS IN-HOME CARE LLC

Provider Business Mailing Address
First Line	:	3020 RODMAN ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-7642
Country	:	US
Telephone Number	:	704-890-0727
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 LATROBE DR STE 450
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1361
Country	:	US
Telephone Number	:	704-890-0727
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COO
Name	:	DAMARA DANYELE ROSEMAN
Credential	:
Telephone Number	:	704-890-0727

Provider Enumeration Date	:	06/25/2021
Last Update Date	:	08/15/2023

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