MEDICARE: CORDIAL HOME HEALTH CARE INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548219363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORDIAL HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	20510 E MILAN PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-6092
Country	:	US
Telephone Number	:	303-766-3724
Fax Number	:	303-766-3725

Provider Business Practice Location Address
First Line	:	20510 E MILAN PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-6092
Country	:	US
Telephone Number	:	303-766-3724
Fax Number	:	303-766-3725

Authorized Official
Title or Position	:	CEO
Name	:	ELVIS MUNA ACHA
Credential	:
Telephone Number	:	303-766-3724

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	08/22/2020

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