Healthcare Provider Details
I. General information
NPI: 1972478477
Provider Name (Legal Business Name): LEON HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24305 E 4TH DR
AURORA CO
80018-1593
US
IV. Provider business mailing address
24305 E 4TH DR
AURORA CO
80018-1593
US
V. Phone/Fax
- Phone: 720-708-0371
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUILAN
LEON ALVAREZ
Title or Position: OFFICIAL
Credential:
Phone: 720-708-0371