MEDICARE: VANESSA E ALCARAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	04J901
2	376J00000X	Homemaker	04Z396	CO
3	251E00000X	Home Health Agency	04J901	CO

General Provider Information

NPI Number	:	1316504707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA E ALCARAZ

Provider Business Mailing Address
First Line	:	7470 W WARREN CIR APT 5216
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-2809
Country	:	US
Telephone Number	:	720-987-0652
Fax Number	:

Provider Business Practice Location Address
First Line	:	7470 W WARREN CIR APT 5216
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-2809
Country	:	US
Telephone Number	:	720-987-0652
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	05/21/2019

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Directions to “ VANESSA E ALCARAZ ” Practice Location

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