Healthcare Provider Details

I. General information

NPI: 1174439533
Provider Name (Legal Business Name): ALPINE HAVEN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CASTLE CREEK RD
ASPEN CO
81611-1159
US

IV. Provider business mailing address

2020 N ACADEMY BLVD STE 261
COLORADO SPRINGS CO
80909-1514
US

V. Phone/Fax

Practice location:
  • Phone: 917-329-7872
  • Fax:
Mailing address:
  • Phone: 917-329-7872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REECE DABLER
Title or Position: OWNER
Credential:
Phone: 917-329-7872