Provider Demographics
NPI:1154400778
Name:ROSEMARY TAYLOR
Entity type:Organization
Organization Name:ROSEMARY TAYLOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RNCOCNBSN
Authorized Official - Phone:832-814-3700
Mailing Address - Street 1:16523 TERRACE HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-7191
Mailing Address - Country:US
Mailing Address - Phone:832-814-3700
Mailing Address - Fax:281-240-5341
Practice Address - Street 1:16523 TERRACE HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-7191
Practice Address - Country:US
Practice Address - Phone:832-814-3700
Practice Address - Fax:281-240-5341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009497251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677932Medicare ID - Type Unspecified