Provider Demographics
NPI:1578367355
Name:ROSE COMPASSIONATE CARE
Entity type:Organization
Organization Name:ROSE COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THEOPHILUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KABANGAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-752-1952
Mailing Address - Street 1:36 ROSELAWN AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2359
Mailing Address - Country:US
Mailing Address - Phone:267-752-1952
Mailing Address - Fax:
Practice Address - Street 1:36 ROSELAWN AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2359
Practice Address - Country:US
Practice Address - Phone:267-752-1952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility