MEDICARE: 365 INVESTMENTS, 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	:	1790122067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	365 INVESTMENTS, INC

Provider Business Mailing Address
First Line	:	1670 PAONIA ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-2641
Country	:	US
Telephone Number	:	719-645-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670 PAONIA ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-2641
Country	:	US
Telephone Number	:	719-645-8888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JESSICCA L.R. RODRIGUEZ
Credential	:
Telephone Number	:	719-645-8888

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/28/2013

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