MEDICARE: ROSE WARREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1811874852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE WARREN

Provider Business Mailing Address
First Line	:	8539 S REDWOOD RD STE C
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-5250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8539 S REDWOOD RD STE C
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-5250
Country	:	US
Telephone Number	:	801-919-4657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2025
Last Update Date	:	08/20/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1689518755 — TIA KNOTTCLAY
Practice Location Address:

8539 S REDWOOD RD
WEST JORDAN, UT
84088-5250

Practice Phone: 801-919-4657
Practice Fax: 801-919-4657

1003155797 — PARKE FAMILY SENIOR CARE INC.
Practice Location Address:

8539 S REDWOOD RD , SUITE B
WEST JORDAN, UT
84088-5250

Practice Phone: 801-542-0405
Practice Fax:

1487413423 — TIMOTHY GRIMSLEY
Practice Location Address:

8539 S REDWOOD RD STE C
WEST JORDAN, UT
84088-5250

Practice Phone: 801-919-4657
Practice Fax:

1952147639 — ASHLEIGH FERNANDEZ
Practice Location Address:

8539 S REDWOOD RD STE C
WEST JORDAN, UT
84088-5250

Practice Phone: 385-424-2800
Practice Fax:

1285728634 — AUREA GINA M GUISADIO PT
Practice Location Address:

5250 WEST A.J. HIGHWAY
MORRISTOWN, TN
37814

Practice Phone: 423-748-4800
Practice Fax: 423-585-5889

Directions to “ ROSE WARREN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.