Healthcare Provider Details

I. General information

NPI: 1437802451
Provider Name (Legal Business Name): NOOR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11062 E HARVARD DR
AURORA CO
80014-1707
US

IV. Provider business mailing address

11062 E HARVARD DR
AURORA CO
80014-1707
US

V. Phone/Fax

Practice location:
  • Phone: 720-324-3242
  • Fax:
Mailing address:
  • Phone: 720-324-3242
  • Fax:

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: HELAY ZADRAN
Title or Position: OWNER
Credential:
Phone: 720-324-3242