Healthcare Provider Details

I. General information

NPI: 1346159241
Provider Name (Legal Business Name): HAPPY HEARTS AND MINDS HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3190 S VAUGHN WAY STE 550
AURORA CO
80014-3538
US

IV. Provider business mailing address

5476 S HANNIBAL CT
CENTENNIAL CO
80015-4282
US

V. Phone/Fax

Practice location:
  • Phone: 720-427-3286
  • Fax:
Mailing address:
  • Phone: 720-427-3286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ROMAN TILAHUN
Title or Position: ADMINISTRATOR & OWNER
Credential:
Phone: 720-427-3286