Rose Road Home LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ROSE ROAD HOME LLC

Practice address

5677 S 1475 E Ste 4a
South Ogden, UT 84403-7003

Phone

(385) 222-3737

Fax

(385) 222-3738

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

David Rose

Title

Executive Director

Phone

(801) 680-7805

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kassidy Campbell Mahoskey, LCSW

  • Professional Counselor
  • South Ogden, UT
  • NPI 1891225785

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1194101592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 S 1475 E STE 4A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037003",
            "telephone_number": "385-222-3737",
            "fax_number": "385-222-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 S 1475 E STE 4A",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844037003",
            "telephone_number": "385-222-3737",
            "fax_number": "385-222-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ROAD HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-680-7805"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "10068",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Ellen Robison, RD
• Rock Hill Counseling Services LLC
• Rocky Mountain Spine & Injury Chiropractic, P.L.L.C.
• Frank F Romney, RPT, MOMT
• Roots and Raices Functional Medicine Inc.
• Alexandria Rucker, RBT
• Adrie Rumsey, RBT
• Ryan K Austin, DDS PC
• Alexis Ryan
• Mayra Salcedo, RBT

• Substance Use Disorder Rehabilitation Clinic/Center in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.