Provider Demographics
NPI:1659246684
Name:ROSE WELLNESS CARE LLC
Entity type:Organization
Organization Name:ROSE WELLNESS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADVANCED PRACTICE REGISTERED
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, ANP-BC, F
Authorized Official - Phone:850-284-2573
Mailing Address - Street 1:1600 SW 127TH WAY APT C402
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6836
Mailing Address - Country:US
Mailing Address - Phone:850-284-2573
Mailing Address - Fax:
Practice Address - Street 1:2820 NE 214TH ST STE 801
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1269
Practice Address - Country:US
Practice Address - Phone:850-766-0451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-08
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty