MEDICARE: COTTONWOOD INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	251E00000X	Home Health Agency	KS
2	171WH0202X	Home Modifications Contractor	KS
3	3747P1801X	Personal Care Attendant	KS
4	251B00000X	Case Management Agency
5	251C00000X	Developmentally Disabled Services Day Training Agency
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7	332BC3200X	Customized Equipment (DME)	KS

General Provider Information

NPI Number	:	1275539744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTTONWOOD INCORPORATED

Provider Business Mailing Address
First Line	:	2801 W 31ST ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-3049
Country	:	US
Telephone Number	:	785-842-0550
Fax Number	:	785-842-6102

Provider Business Practice Location Address
First Line	:	2801 W 31ST ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-3049
Country	:	US
Telephone Number	:	785-842-0550
Fax Number	:	785-842-6102

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	SHARON S SPRATT
Credential	:
Telephone Number	:	785-842-0550

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	09/11/2025

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Directions to “COTTONWOOD INCORPORATED ” Practice Location

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