Organization
HEALTHCARE SYSTEMS INC.
Active
Other names
Sacred Rose Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN KARLOVICH BS (CEO/PRESIDENT)
(417) 889-4357
Entity
Organization
Contact information
Practice address
1736 E SUNSHINE ST, SUITE 709, SPRINGFIELD, MO 65804-1343
(417) 887-2121
(417) 882-3966
Mailing address
1736 E SUNSHINE ST, SUITE 709, SPRINGFIELD, MO 65804-1343
(417) 887-2121
(417) 882-3966
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
435
MO
251E00000X
Home Health Agency
Primary
436
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007432
—
MO
01
—
173317
BLUE CROSS BLUE SHIELD
MO
05
—
266061506
—
MO
05
—
286061502
—
MO
05
—
582640306
—
MO
05
—
584653307
—
MO
05
—
946049400
—
MO
Enumeration date
10/21/2005
Last updated
03/17/2011
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