Provider Demographics
NPI:1437154101
Name:ROSEWOOD HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ROSEWOOD HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HINDE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-994-9070
Mailing Address - Street 1:11701 BORMAN DR
Mailing Address - Street 2:STE 315
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4194
Mailing Address - Country:US
Mailing Address - Phone:314-994-9070
Mailing Address - Fax:
Practice Address - Street 1:3 CLUB CENTRE CT
Practice Address - Street 2:UNIT D
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-3519
Practice Address - Country:US
Practice Address - Phone:618-692-7673
Practice Address - Fax:618-692-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011729251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147680Medicare Oscar/Certification