MEDICARE: THE VILLAGES OF ROSEMONT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1558979567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE VILLAGES OF ROSEMONT, LLC

Provider Business Mailing Address
First Line	:	23700 COMMERCE PARK
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5827
Country	:	US
Telephone Number	:	216-292-5706
Fax Number	:

Provider Business Practice Location Address
First Line	:	3751 SENTARA WAY
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4200
Country	:	US
Telephone Number	:	757-306-2800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM WEISBERG
Credential	:
Telephone Number	:	216-292-5706

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	02/14/2022

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