Rose Wellness Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

053562 Issued in FL

Legal business name

ROSE WELLNESS CLINIC LLC

Practice address

910 Old Camp Rd
Suite 92
The Villages, FL 32162-5604

Phone

(352) 775-2180

Fax

(352) 775-2930

NPI assigned

Mar 26, 2015

Last updated

Aug 30, 2022By 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

Chad Rose, D.C.NPI 1003245721

Title

Owner

Phone

(352) 775-2180

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 9

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.

• Chad Michael Rose, D.C.

  • Chiropractor
  • The Villages, FL
  • NPI 1003245721
  Medicare reassignment Care Compare group NPD Authorized official
• Catherine Louise Christenson, ARNP

  • Family Nurse Practitioner
  • Lady Lake, FL
  • NPI 1609161942
  Medicare reassignment Care Compare group NPD
• Chelsy Kay Fazio, ARNP

  • Family Nurse Practitioner
  • The Villages, FL
  • NPI 1942725098
  Medicare reassignment Care Compare group NPD
• Sherri Marie Perissutti, REGISTERED NURSE

  • Adult Health Nurse Practitioner
  • Ocala, FL
  • NPI 1881499721
  Medicare reassignment Care Compare group NPD
• Nicole Rochelle Tucker, DPT

  • Physical Therapist
  • Kissimmee, FL
  • NPI 1558674762
  Medicare reassignment Care Compare group NPD
• Edwin Lu Ballada, DPT

  • Physical Therapist
  • Eustis, FL
  • NPI 1891828927
  Medicare reassignment Care Compare group
• Mark Alan Brimer, PH.D., P.T.

  • Physical Therapist
  • Satellite Beach, FL
  • NPI 1477992105
  NPD
• Daniel Michael Cohen, M.D.

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1497720163

  Multi-Specialty

  NPD
• Trang N Nghiem, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1508385261
  NPD

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1598159576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "SUITE 92",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "386-334-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "SUITE 92",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-775-2180",
            "fax_number": "352-775-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-775-2180",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11031",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "053562",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "009SS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kristine Rook
• Nicole K Roppel, PHARM D
• Caridad Rosa, RRT
• Ivelisse Rosa, DPM
• Victor Rosario
• Chad Michael Rose, D.C.
• Saul Rosenblum, M.D.
• Rosie Premium Home Care LLC
• Anna-Marie M Roswold, ARNP
• Mark A Rothschild, MD

• General Practice Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.