Provider Demographics
NPI:1073407979
Name:ROSE-ENGLISH, DESTINY
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:
Last Name:ROSE-ENGLISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N KNOXVILLE AVE LOT 10
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-1900
Mailing Address - Country:US
Mailing Address - Phone:419-778-0554
Mailing Address - Fax:
Practice Address - Street 1:200 N KNOXVILLE AVE LOT 10
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-1900
Practice Address - Country:US
Practice Address - Phone:419-778-0554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide