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	1009505	IL

General Provider Information

NPI Number	:	1720083496
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	:	7501 N UNIVERSITY ST
Second Line	:	STE 208
City	:	PEORIA
State	:	IL
Zip	:	61614-1258
Country	:	US
Telephone Number	:	309-689-0302
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	MICHAEL BRADY
Credential	:
Telephone Number	:	314-994-9070

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	08/22/2020

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Directions to “ROSEWOOD HOME HEALTH SERVICES, INC ” Practice Location

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