Healthcare Provider Details
I. General information
NPI: 1750170320
Provider Name (Legal Business Name): ROSEMENE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
722 LAKE MARTHA DR NE
WINTER HAVEN FL
33881-4275
US
IV. Provider business mailing address
722 LAKE MARTHA DR NE
WINTER HAVEN FL
33881-4275
US
V. Phone/Fax
- Phone: 863-398-9236
- Fax: 863-398-9236
- Phone: 863-398-9236
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERBY
SAIMPLICE
Title or Position: CO FOUNDER & CEO
Credential:
Phone: 863-398-9236