Provider Demographics
NPI:1407832876
Name:ROSE HILL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ROSE HILL HEALTH SERVICES, LLC
Other - Org Name:LAKEPOINT NURSING AND REHABILITATION CENTER ROSE HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:WILKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-776-2194
Mailing Address - Street 1:601 N ROSE HILL RD
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-9336
Mailing Address - Country:US
Mailing Address - Phone:316-776-2194
Mailing Address - Fax:316-776-9370
Practice Address - Street 1:601 N ROSE HILL RD
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:KS
Practice Address - Zip Code:67133-9336
Practice Address - Country:US
Practice Address - Phone:316-776-2194
Practice Address - Fax:316-776-9370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN008004311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100111280AMedicaid
KS100111280AMedicaid