Healthcare Provider Details

I. General information

NPI: 1255275269
Provider Name (Legal Business Name): HAVILAH HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18658 E VASSAR DR
AURORA CO
80013-6467
US

IV. Provider business mailing address

18658 E VASSAR DR
AURORA CO
80013-6467
US

V. Phone/Fax

Practice location:
  • Phone: 720-209-2127
  • Fax:
Mailing address:
  • Phone: 720-209-2127
  • Fax: 720-209-2127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AGNES ANTWI
Title or Position: PRESIDENT
Credential:
Phone: 720-209-2127