MEDICARE: THE ROSE GROUP, INC

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	251E00000X	Home Health Agency	216090961	FL

General Provider Information

NPI Number	:	1821063306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ROSE GROUP, INC

Provider Business Mailing Address
First Line	:	817 NW 56TH TER
Second Line	:	SUITEA
City	:	GAINESVILLE
State	:	FL
Zip	:	32605-6418
Country	:	US
Telephone Number	:	386-496-3034
Fax Number	:	386-496-1034

Provider Business Practice Location Address
First Line	:	1852 SW BARNETT WAY
Second Line	:	SUITE 103
City	:	LAKE CITY
State	:	FL
Zip	:	32025
Country	:	US
Telephone Number	:	386-755-1544
Fax Number	:	386-758-7828

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	FRED CHARLES ROGERS
Credential	:
Telephone Number	:	386-755-1544

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	06/08/2023

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