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NPI Code Detail

MEDICARE: JOY L ROSE

MEDICARE:   JOY L ROSE
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
1171M00000XCase Manager/Care Coordinator
2373H00000XDay Training/Habilitation Specialist
3171400000XHealth & Wellness CoachCA
4172V00000XCommunity Health Worker
5106S00000XBehavior Technician

General Provider Information

NPI Number : 1972132389
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY L ROSE
Provider Business Mailing Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 916-698-2924
Fax Number :
Provider Business Practice Location Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 916-698-2924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 01/26/2026

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