1417261827 NPI number — CARE AT HOME, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417261827 NPI number — CARE AT HOME, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARE AT HOME, 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:
COMFORCARE SENIOR SERVICES - DENVER
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:
1417261827
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3090 S JAMAICA CT
Provider Second Line Business Mailing Address:
STE 302
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80014-2658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-337-4473
Provider Business Mailing Address Fax Number:
303-337-4535

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3090 S JAMAICA CT
Provider Second Line Business Practice Location Address:
STE 302
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80014-2658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-337-4473
Provider Business Practice Location Address Fax Number:
303-337-4535
Provider Enumeration Date:
07/28/2010

Additional Information

Authorized Official

Authorized Official Last Name:
POTTS
Authorized Official First Name:
GWENN
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-337-4473

Provider Taxonomy Codes

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

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





Copyright © 2007-2024 www.npivalidator.com