Provider Demographics
NPI:1568268464
Name:ROSES LLC
Entity type:Organization
Organization Name:ROSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIEFER
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:YAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-723-7447
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89041-0777
Mailing Address - Country:US
Mailing Address - Phone:702-723-7447
Mailing Address - Fax:
Practice Address - Street 1:1891 GEE ST
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-2965
Practice Address - Country:US
Practice Address - Phone:702-723-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care