Healthcare Provider Details
I. General information
NPI: 1669261004
Provider Name (Legal Business Name): ZIONS CARE COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26194 E CALHOUN CIR
AURORA CO
80016-4488
US
IV. Provider business mailing address
26194 E CALHOUN CIR
AURORA CO
80016-4488
US
V. Phone/Fax
- Phone: 303-601-7307
- Fax:
- Phone: 303-601-7307
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253J00000X |
| Taxonomy | Foster Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SEBLEWENGELE
M
ASEFA
Title or Position: OWNER
Credential:
Phone: 303-601-7307