Healthcare Provider Details

I. General information

NPI: 1710032909
Provider Name (Legal Business Name): ROSEWOOD SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 N WASHINGTON AVE
GREAT BEND KS
67530-9096
US

IV. Provider business mailing address

PO BOX 1321
GREAT BEND KS
67530-1321
US

V. Phone/Fax

Practice location:
  • Phone: 620-793-5888
  • Fax: 620-793-8393
Mailing address:
  • Phone: 620-793-5888
  • Fax: 620-793-8393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMMY A HAMMOND
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 620-793-5888