Healthcare Provider Details

I. General information

NPI: 1235765165
Provider Name (Legal Business Name): INFINITE COMPASSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3819 S QUINTERO CIR
AURORA CO
80013-3122
US

IV. Provider business mailing address

3819 S QUINTERO CIR
AURORA CO
80013-3122
US

V. Phone/Fax

Practice location:
  • Phone: 720-762-2672
  • Fax:
Mailing address:
  • Phone: 720-989-5463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANA SHAW
Title or Position: DIRECTOR
Credential:
Phone: 720-762-2672