Healthcare Provider Details

I. General information

NPI: 1770628737
Provider Name (Legal Business Name): A WORLD OF EXCELLENT HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 S HAVANA ST STE 236
AURORA CO
80012-4001
US

IV. Provider business mailing address

1450 S HAVANA ST SUITE NUMBER 236
AURORA CO
80012-4001
US

V. Phone/Fax

Practice location:
  • Phone: 303-369-2428
  • Fax: 303-368-8459
Mailing address:
  • Phone: 303-369-2428
  • Fax: 303-368-8459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number76039820
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAXINE A CHATTMAN
Title or Position: CEO
Credential:
Phone: 303-369-2428