MEDICARE: ROSEWOOD HOME HEALTH SERVICES, INC

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	251E00000X	Home Health Agency	1011729	IL

General Provider Information

NPI Number	:	1437154101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSEWOOD HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	11701 BORMAN DR
Second Line	:	STE 315
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4194
Country	:	US
Telephone Number	:	314-994-9070
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 CLUB CENTRE CT
Second Line	:	UNIT D
City	:	EDWARDSVILLE
State	:	IL
Zip	:	62025-3519
Country	:	US
Telephone Number	:	618-692-7673
Fax Number	:	618-692-0090

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HINDE FEINER
Credential	:
Telephone Number	:	314-994-9070

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/23/2016

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