Healthcare Provider Details

I. General information

NPI: 1275539744
Provider Name (Legal Business Name): COTTONWOOD INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W 31ST ST
LAWRENCE KS
66047-3049
US

IV. Provider business mailing address

2801 W 31ST ST
LAWRENCE KS
66047-3049
US

V. Phone/Fax

Practice location:
  • Phone: 785-842-0550
  • Fax: 785-842-6102
Mailing address:
  • Phone: 785-842-0550
  • Fax: 785-842-6102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateKS
# 7
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateKS

VIII. Authorized Official

Name: SHARON S SPRATT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 785-842-0550