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NPI Code Detail

MEDICARE: ROSA'S FIRST QUALITY HOME HEALTHCARE LLC

MEDICARE: ROSA'S FIRST QUALITY HOME HEALTHCARE LLC
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
1251E00000XHome Health Agency004927TX

Other Identifiers

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

General Provider Information

NPI Number : 1518968106
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSA'S FIRST QUALITY HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 306 E RANDOL MILL RD
Second Line : SUITE 100
City : ARLINGTON
State : TX
Zip : 76011-5819
Country : US
Telephone Number : 817-461-0154
Fax Number : 817-275-9792
Provider Business Practice Location Address
First Line : 306 E RANDOL MILL RD
Second Line : SUITE 100
City : ARLINGTON
State : TX
Zip : 76011-5819
Country : US
Telephone Number : 817-461-0154
Fax Number : 817-275-9792
Authorized Official
Title or Position : OWNER/CEO
Name : MS. BALINDA ANTOINE
Credential :
Telephone Number : 817-461-0154
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/26/2023

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Directions to “ROSA'S FIRST QUALITY HOME HEALTHCARE LLC ” Practice Location

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