Healthcare Provider Details

I. General information

NPI: 1437070075
Provider Name (Legal Business Name): ELODIE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19225 E CAROLINA PL UNIT 105
AURORA CO
80017-6396
US

IV. Provider business mailing address

19225 E CAROLINA PL UNIT 105
AURORA CO
80017-6396
US

V. Phone/Fax

Practice location:
  • Phone: 720-757-8084
  • Fax:
Mailing address:
  • Phone: 720-757-8084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. YOSEF NIGUSIE DURESA
Title or Position: MANAGING MEMBER
Credential:
Phone: 720-757-8084