Healthcare Provider Details

I. General information

NPI: 1821932138
Provider Name (Legal Business Name): BEACON OF HOPE CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 E ILIFF AVE STE 410
AURORA CO
80014-1405
US

IV. Provider business mailing address

14001 E ILIFF AVE STE 410
AURORA CO
80014-1405
US

V. Phone/Fax

Practice location:
  • Phone: 267-306-0710
  • Fax:
Mailing address:
  • Phone: 267-306-0710
  • 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 TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: CALVIN DEAN
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 267-306-0710