Provider Demographics
NPI:1548491947
Name:ROSE CITY HOME CARE, INC.
Entity type:Organization
Organization Name:ROSE CITY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:VERGINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREAKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-689-3440
Mailing Address - Street 1:1864 E. WASHINGTON BLVD.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-1667
Mailing Address - Country:US
Mailing Address - Phone:626-689-3440
Mailing Address - Fax:626-796-2678
Practice Address - Street 1:1864 E. WASHINGTON BLVD.
Practice Address - Street 2:SUITE 210
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-1667
Practice Address - Country:US
Practice Address - Phone:626-689-3440
Practice Address - Fax:626-796-2678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health