1619251485 NPI number — TRUSTED ALLY HOME CARE

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 1619251485 NPI number — TRUSTED ALLY HOME CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUSTED ALLY HOME CARE
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:
1619251485
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5299 DTC BLVD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENWOOD VILLAGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80111-3312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-442-8386
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3773 HOWARD HUGHES PKWY STE 500S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89169-6014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-756-6282
Provider Business Practice Location Address Fax Number:
888-692-9332
Provider Enumeration Date:
09/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PAGE
Authorized Official First Name:
ALEXANDER
Authorized Official Middle Name:
Authorized Official Title or Position:
CO-FOUNDER, CEO
Authorized Official Telephone Number:
720-442-8386

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 615985500 . This is a "DOL ENERGY PROGRAM ( EEOICPA) ACS PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".




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