Healthcare Provider Details

I. General information

NPI: 1750851630
Provider Name (Legal Business Name): SLV HOME SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 12/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 4TH ST STE 3B
ALAMOSA CO
81101-2650
US

IV. Provider business mailing address

6990 W 38TH AVE STE 100B
WHEAT RIDGE CO
80033-4980
US

V. Phone/Fax

Practice location:
  • Phone: 719-985-9418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LOUIS COLAIANNIA III
Title or Position: PRESIDENT
Credential:
Phone: 719-985-9418