1790605947 NPI number — COLORADO NATUROPATHIC HOUSE CALLS LLC

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 1790605947 NPI number — COLORADO NATUROPATHIC HOUSE CALLS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLORADO NATUROPATHIC HOUSE CALLS LLC
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:
Provider Other Organization Name Type Code:
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:
1790605947
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 N GRANT ST STE R
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80203-1859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-404-4490
Provider Business Mailing Address Fax Number:
970-489-1534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
214 WILLOW ST UNIT 11
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT COLLINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80524-2435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-404-4490
Provider Business Practice Location Address Fax Number:
970-489-1534
Provider Enumeration Date:
07/17/2026

Additional Information

Authorized Official

Authorized Official Last Name:
MCMATH
Authorized Official First Name:
GRIFFIN
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
FOUNDER
Authorized Official Telephone Number:
970-404-4490

Provider Taxonomy Codes

  • Taxonomy code: 175F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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