Provider Demographics
NPI:1215306824
Name:ROSE'S AMERICAN HOMES L.L.C
Entity type:Organization
Organization Name:ROSE'S AMERICAN HOMES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ONOME
Authorized Official - Middle Name:
Authorized Official - Last Name:AKISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-254-2285
Mailing Address - Street 1:PO BOX 760506
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-0506
Mailing Address - Country:US
Mailing Address - Phone:248-254-2285
Mailing Address - Fax:
Practice Address - Street 1:25083 ROSS DR
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3363
Practice Address - Country:US
Practice Address - Phone:248-254-2285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child