ROSE WATERS HOME LLC NPI 1093699662

NPI Information

  • NPI: 1093699662
  • Provider Name: ROSE WATERS HOME LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1719 MENDOCINO DR
    CONCORD, CA
    ZIP 94521
  • Phone: (415) 730-9190

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NPI Details

ROSE WATERS HOME LLC is an assisted living facility in Concord, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ROSE WATERS HOME LLC NPI is 1093699662. The provider is registered as an organization entity type.

The provider's business location address is:

1719 MENDOCINO DR
CONCORD, CA
ZIP 94521-103
Phone: (415) 730-9190

The provider's authorized official is Rose Kamau .
The authorized official title is Manager and has the following contact phone number (415) 730-9190.

The enumeration date for this NPI number is 8/5/2025 and was last updated on 8/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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