Healthcare Provider Details

I. General information

NPI: 1730637091
Provider Name (Legal Business Name): CARE AND COMMUNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18757 E HAMPDEN AVE STE 162
AURORA CO
80013-3586
US

IV. Provider business mailing address

16050 E DARTMOUTH AVE UNIT 1-3
AURORA CO
80013-1900
US

V. Phone/Fax

Practice location:
  • Phone: 303-955-1672
  • Fax: 720-242-8462
Mailing address:
  • Phone: 303-955-1672
  • Fax: 720-242-8462

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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: REBECCA BOWAR
Title or Position: DIRECTOR
Credential:
Phone: 303-955-1672