Healthcare Provider Details
I. General information
NPI: 1699656306
Provider Name (Legal Business Name): EMMANUEL COMPASSIONATE CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4256 S BISCAY CIR
AURORA CO
80013-3824
US
IV. Provider business mailing address
4256 S BISCAY CIR
AURORA CO
80013-3824
US
V. Phone/Fax
- Phone: 720-388-5398
- Fax:
- Phone: 720-388-5398
- 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 | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARGARET
SSALI
SEMAKULA
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 720-388-5398