MEDICARE: ROSARY HOME HEALTH, 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

General Provider Information

NPI Number	:	1215199849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSARY HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	16360 PARK TEN PL STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5047
Country	:	US
Telephone Number	:	281-600-1600
Fax Number	:	281-600-1602

Provider Business Practice Location Address
First Line	:	16360 PARK TEN PL STE 108
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5047
Country	:	US
Telephone Number	:	281-600-1600
Fax Number	:	281-600-1602

Authorized Official
Title or Position	:	ADMINISTRATOR / DON
Name	:	ROSALINE I IGBOKWE
Credential	:	MA, BA, BSN/RN
Telephone Number	:	281-600-1600

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	09/14/2020

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Directions to “ROSARY HOME HEALTH, INC ” Practice Location

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