Healthcare Provider Details

I. General information

NPI: 1437990694
Provider Name (Legal Business Name): THE ROSE YARDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 09/02/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 LOUISIANA STREET STE 900
HOUSTON TX
77002-1963
US

IV. Provider business mailing address

400 LOUISIANA STREET STE 900
HOUSTON TX
77002
US

V. Phone/Fax

Practice location:
  • Phone: 818-473-0156
  • Fax: 641-207-4228
Mailing address:
  • Phone: 912-980-0076
  • Fax: 641-207-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARLENE TAYLOR ROSE
Title or Position: OWNER
Credential:
Phone: 818-473-0156