Healthcare Provider Details

I. General information

NPI: 1912801804
Provider Name (Legal Business Name): FEVEN TEDROS GHEBREHAWARIAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 E GIRARD AVE STE 4900
AURORA CO
80014-5053
US

IV. Provider business mailing address

15200 E GIRARD AVE STE 4900
AURORA CO
80014-5053
US

V. Phone/Fax

Practice location:
  • Phone: 720-289-2658
  • Fax: 303-648-4220
Mailing address:
  • Phone: 720-289-2658
  • Fax: 303-648-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: