Provider Demographics
NPI:1194770099
Name:ROSY IN-HOME SERVICES INC.
Entity type:Organization
Organization Name:ROSY IN-HOME SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOKARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-251-7555
Mailing Address - Street 1:3724 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-1334
Mailing Address - Country:US
Mailing Address - Phone:512-251-7555
Mailing Address - Fax:512-719-0908
Practice Address - Street 1:3724 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1334
Practice Address - Country:US
Practice Address - Phone:512-251-7555
Practice Address - Fax:512-719-0908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008065251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX18648625OtherHMO - EVERCARE
TX001012460Medicaid
TX001014153Medicaid
TX001015765OtherCBA ICM MESQUITE
TX10060815OtherHMO- AMERIGROUP RIH
TX163647401Medicaid
TX001012461Medicaid
TX001014153Medicaid