Rosewood Manor of Vero Beach LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROSEWOOD MANOR OF VERO BEACH LLC

Practice address

3710 14TH St
Vero Beach, FL 32960-2708

Phone

(772) 564-0063

Fax

(772) 563-2378

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Souky Titus

Title

Business Office Manager

Phone

(772) 569-7777

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1760007934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 14TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602708",
            "telephone_number": "772-564-0063",
            "fax_number": "772-563-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 14TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602708",
            "telephone_number": "772-564-0063",
            "fax_number": "772-563-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD MANOR OF VERO BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "SOUKY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "772-569-7777"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106633200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457559841",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc C Rose, MD
• Brice Alan Roselli, O.D.
• Alex Raymond Rosen, M.D.
• Alan M. Rosenbaum, M.D.
• Lacee Rosenborrough, LMT
• Rosewood Manor of Vero Beach, Inc.
• Lushanda Rosier
• Lawren Alexandria Rosin, ARNP
• Kristi Roske, APRN
• Richard Rothman, MD

• Assisted Living Facility in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.