Healthcare Provider Details

I. General information

NPI: 1609689751
Provider Name (Legal Business Name): PRIME TIME HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5970 N LIVERPOOL ST
AURORA CO
80019-2259
US

IV. Provider business mailing address

5970 N LIVERPOOL ST
AURORA CO
80019-2259
US

V. Phone/Fax

Practice location:
  • Phone: 720-400-5199
  • Fax:
Mailing address:
  • Phone: 720-400-5199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: OYINDAMOLA ALABETUTU
Title or Position: DIRECTOR
Credential:
Phone: 720-400-5199