Provider Demographics
NPI:1750170320
Name:ROSEMENE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ROSEMENE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHERBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIMPLICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-398-9236
Mailing Address - Street 1:722 LAKE MARTHA DR NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4275
Mailing Address - Country:US
Mailing Address - Phone:863-398-9236
Mailing Address - Fax:
Practice Address - Street 1:722 LAKE MARTHA DR NE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4275
Practice Address - Country:US
Practice Address - Phone:863-398-9236
Practice Address - Fax:863-398-9236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty