Provider Demographics
NPI:1053984070
Name:TROSE HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:TROSE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-213-2819
Mailing Address - Street 1:6500 NORTHWEST DR STE 350
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-1364
Mailing Address - Country:US
Mailing Address - Phone:317-213-2819
Mailing Address - Fax:
Practice Address - Street 1:6500 NORTHWEST DR STE 350
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1364
Practice Address - Country:US
Practice Address - Phone:317-213-2819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health