Provider Demographics
NPI:1689487365
Name:ROTHBAUER HOLDINGS LLC
Entity type:Organization
Organization Name:ROTHBAUER HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-772-0406
Mailing Address - Street 1:8182 FM 532 W
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:TX
Mailing Address - Zip Code:78629-3587
Mailing Address - Country:US
Mailing Address - Phone:361-772-0406
Mailing Address - Fax:
Practice Address - Street 1:309 KESSLER AVE
Practice Address - Street 2:
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956-1507
Practice Address - Country:US
Practice Address - Phone:979-743-4663
Practice Address - Fax:979-743-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health