Provider Demographics
NPI:1053551077
Name:GARDEN ROSE HOME HEALTH
Entity type:Organization
Organization Name:GARDEN ROSE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ADRIETTE
Authorized Official - Middle Name:ALYS
Authorized Official - Last Name:EPPERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-386-0589
Mailing Address - Street 1:3438 WHISPER HVN
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-2153
Mailing Address - Country:US
Mailing Address - Phone:210-386-0589
Mailing Address - Fax:830-214-0969
Practice Address - Street 1:3438 WHISPER HVN
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-2153
Practice Address - Country:US
Practice Address - Phone:210-386-0589
Practice Address - Fax:830-214-0969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health