Rosebrooke Senior Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROSEBROOKE SENIOR LIVING INC

Practice address

550 W Liberty Street
Adams, WI 53910

Phone

(608) 339-9444

Fax

(608) 399-3824

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Clarissa Simonson, NPNPI 1417434598

Title

Owner

Phone

(715) 207-1419

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarissa M Simonson, DNP, AGNP-C, APNP

  • Nurse Practitioner
  • Vesper, WI
  • NPI 1417434598
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1124706056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W LIBERTY STREET",
            "city": "ADAMS",
            "state": "WI",
            "postal_code": "53910",
            "telephone_number": "608-339-9444",
            "fax_number": "608-399-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W LIBERTY STREET",
            "city": "ADAMS",
            "state": "WI",
            "postal_code": "53910",
            "telephone_number": "608-339-9444",
            "fax_number": "608-399-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBROOKE SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-207-1419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Adams, WI
• Providers in Adams, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.