Healthcare Provider Details
I. General information
NPI: 1629856901
Provider Name (Legal Business Name): PERRY & COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2023
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10800 E BETHANY DR STE 105B
AURORA CO
80014-2687
US
IV. Provider business mailing address
10800 E BETHANY DR STE 105B
AURORA CO
80014-2687
US
V. Phone/Fax
- Phone: 720-435-8389
- Fax:
- Phone: 720-435-8389
- 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:
MONA
MCBORROUGH
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential:
Phone: 720-435-8389