MEDICARE: ROSE SPRAGUE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1538053459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE SPRAGUE

Provider Business Mailing Address
First Line	:	1707 LITTLE SIOUX LN
Second Line	:
City	:	COZAD
State	:	NE
Zip	:	69130-1036
Country	:	US
Telephone Number	:	308-325-9851
Fax Number	:	844-488-4111

Provider Business Practice Location Address
First Line	:	1707 LITTLE SIOUX LN
Second Line	:
City	:	COZAD
State	:	NE
Zip	:	69130-1036
Country	:	US
Telephone Number	:	308-325-9851
Fax Number	:	844-488-4111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	06/05/2025

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Directions to “ ROSE SPRAGUE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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