MEDICARE: ROSEMENE HEALTHCARE SERVICES 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	:	1750170320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEMENE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	722 LAKE MARTHA DR NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4275
Country	:	US
Telephone Number	:	863-398-9236
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 LAKE MARTHA DR NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4275
Country	:	US
Telephone Number	:	863-398-9236
Fax Number	:	863-398-9236

Authorized Official
Title or Position	:	FINANCIAL OFFICER
Name	:	SHERBY SAIMPLICE
Credential	:
Telephone Number	:	863-398-9236

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	12/01/2025

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