Healthcare Provider Details

I. General information

NPI: 1114416484
Provider Name (Legal Business Name): ROSE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 E MAIN ST
NEW ALBANY IN
47150-5857
US

IV. Provider business mailing address

152 E MAIN ST
NEW ALBANY IN
47150-5881
US

V. Phone/Fax

Practice location:
  • Phone: 812-590-1584
  • Fax:
Mailing address:
  • Phone: 502-694-3870
  • Fax: 509-463-1384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002964A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number84000197A
License Number StateIN

VIII. Authorized Official

Name: DR. JESSICA ROSE GRADEL
Title or Position: OWNER/ SOLE MEMBER
Credential: DC, MSAC, L.AC
Phone: 812-590-1584