Healthcare Provider Details
I. General information
NPI: 1497545016
Provider Name (Legal Business Name): DAYSPRING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27010 E LAKEVIEW DR
AURORA CO
80016-2510
US
IV. Provider business mailing address
27010 E LAKEVIEW DR
AURORA CO
80016-2510
US
V. Phone/Fax
- Phone: 303-882-7372
- Fax:
- Phone: 303-882-7372
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IDOWU
MARY
ONI
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 303-882-7372