Healthcare Provider Details

I. General information

NPI: 1063905719
Provider Name (Legal Business Name): CONTINENTAL HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 10/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 S HAVANA ST STE 808
AURORA CO
80012-4036
US

IV. Provider business mailing address

1450 S HAVANA ST STE 808
AURORA CO
80012-4036
US

V. Phone/Fax

Practice location:
  • Phone: 720-495-8872
  • Fax: 720-368-5131
Mailing address:
  • Phone: 720-495-8872
  • Fax: 720-368-5131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04Q646
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ADEROJU AJIBADE
Title or Position: CEO
Credential: RN
Phone: 720-495-8872