Healthcare Provider Details

I. General information

NPI: 1982594842
Provider Name (Legal Business Name): ROSEWOOD QUALITY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4569 S US HIGHWAY 33 57 STE 2
CHURUBUSCO IN
46723-9692
US

IV. Provider business mailing address

4569 S US HIGHWAY 33 57 STE 2
CHURUBUSCO IN
46723-9692
US

V. Phone/Fax

Practice location:
  • Phone: 260-564-1907
  • Fax:
Mailing address:
  • Phone: 260-564-1907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA QUEIROGA
Title or Position: OWNER/TREASURER
Credential:
Phone: 260-564-1907