Healthcare Provider Details

I. General information

NPI: 1376450023
Provider Name (Legal Business Name): ROSEWOOD MANOR OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 MAIN ST
HARWICH MA
02645-2699
US

IV. Provider business mailing address

15 RICHARDS RD
PLYMOUTH MA
02360-4871
US

V. Phone/Fax

Practice location:
  • Phone: 508-432-0135
  • Fax:
Mailing address:
  • Phone: 617-702-2644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: PATRICK FLAHERTY
Title or Position: OFFICER
Credential:
Phone: 508-927-2754