Friends of Rose House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

602412772 Issued in WA

Legal business name

FRIENDS OF ROSE HOUSE

Doing business as

Rose House

Practice address

1419 Yakima Ave
Tacoma, WA 98405-4458

Phone

(253) 272-1759

Fax

(253) 627-1784

NPI assigned

Aug 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Gibson, MNPL

Title

Executive Director

Phone

(253) 272-1759

Specialties & licenses 2

Addresses

Other names 1

• Rose House Doing business as

Locations

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1477784809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054458",
            "telephone_number": "253-272-1759",
            "fax_number": "253-627-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054458",
            "telephone_number": "253-272-1759",
            "fax_number": "253-627-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF ROSE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-272-1759",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MNPL"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602412772",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": "602412772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Austin Friddle, LAN
• Nathan Kinneer Friedline, MD
• Jason Friedman, M.D.
• Stephanie Ilyse Friedman, PHARMD
• Lore R Friend, M.D.
• Elizabeth Anne Friesema, M.D.
• Melodie Friesen, LPN
• Jared Frisk
• April Marie Fritch, PH.D.
• Samara C Fritchman, LMHC, CEAP, EAS-C

• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.