Organization Active NPI

The Rose Group, Inc

  • Home Health Agency
  • Lake City, FL
National Provider Identifier
1821063306
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
216090961 Issued in FL
Legal business name
THE ROSE GROUP, INC
Practice address
1852 SW Barnett Way
Suite 103
Lake City, FL 32025
Phone
(386) 755-1544
Fax
(386) 758-7828
NPI assigned
Feb 20, 2006
Organization subpart
Yes
Parent organization
THE ROSE GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Fred Charles Rogers
Title
Vice President
Phone
(386) 755-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 216090961 FL Primary

Addresses

Primary practice location

1852 SW Barnett Way
Suite 103
Lake City, FL 32025

Mailing address

817 NW 56TH Ter
Suitea
Gainesville, FL 32605-6418
Phone (386) 496-3034

Other names 1

  • Suwannee Medical Personnel/Suwannee Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000605 FL Part A Provider - Home Health Agency 3476464637 Practice locations: Lake City, FL

Home health agency certification: CCN 108010

Legal name
THE ROSE GROUP, INC
Doing business as
SUWANNEE MEDICAL PERSONNEL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2003
Last certification
Apr 14, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 30, 1995 in FL
Enrollment address
1852 SW Barnett Way
Ste 103
Lake City, FL 32025-6953
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suwannee Medical PersonnelCCN 108010
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 22, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0920088Suwannee Medical Personnel1852 SW Barnett Way Ste 103, Lake City, FL 32025Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory
Part of
The Rose Group Inc

Locations

817 NW 56th Ter
Gainesville, FL 32605

1852 SW Barnett Way
#103
Lake City, FL 32025
Phone (386) 755-1544

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Fred Rogers Individual Corporate Officer Jun 1, 1995
Chris Fortner Individual 5% Or Greater Direct Ownership Interest Jul 5, 1995 100%
Corporate Officer Jul 5, 1995
Andrea Paulk Individual W-2 Managing Employee Dec 23, 2011

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension Living Alexian Village TennesseeSignal Mountain, TN, CCN 445123 Skilled nursing facility Adp of the SNF Jun 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1821063306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER",
            "address_2": "SUITEA",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056418",
            "telephone_number": "386-496-3034",
            "fax_number": "386-496-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 SW BARNETT WAY",
            "address_2": "SUITE 103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-755-1544",
            "fax_number": "386-758-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSE GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ROSE GROUP, INC",
        "enumeration_date": "2006-02-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "386-755-1544"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "216090961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suwannee Medical Personnel/Suwannee Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suwannee Medical Personnel/Suwannee Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.