Healthcare Provider Details

I. General information

NPI: 1114459286
Provider Name (Legal Business Name): TRUST AND DIGNITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 JAMAICA ST
AURORA CO
80010-1248
US

IV. Provider business mailing address

2001 JAMAICA ST
AURORA CO
80010-1248
US

V. Phone/Fax

Practice location:
  • Phone: 303-360-9728
  • Fax: 303-360-5195
Mailing address:
  • Phone: 303-360-9728
  • Fax: 303-360-5195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. ARTHUR A PORTER SR.
Title or Position: PRESIDENT
Credential:
Phone: 303-360-9728