1407157589 NPI number — ALWAYS BEST CARE COLORADO, INC.

Table of content: (NPI 1407157589)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407157589 NPI number — ALWAYS BEST CARE COLORADO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALWAYS BEST CARE COLORADO, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALWAYS BEST CARE SENIOR SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407157589
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/26/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
860 TABOR ST STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80401-7121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-952-3060
Provider Business Mailing Address Fax Number:
720-266-6027

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3025 UMATILLA ST UNIT 114
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80211-5606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-952-3060
Provider Business Practice Location Address Fax Number:
720-389-9373
Provider Enumeration Date:
11/05/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NICHOLS
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
PAIGE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-952-3060

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04Q272 . This is a "CDPHE HOME CARE LICENSE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".