Healthcare Provider Details

I. General information

NPI: 1629534607
Provider Name (Legal Business Name): HANS ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 S HAVANA ST STE A
AURORA CO
80012-3034
US

IV. Provider business mailing address

911 S HAVANA ST STE A
AURORA CO
80012-3034
US

V. Phone/Fax

Practice location:
  • Phone: 720-641-5430
  • Fax:
Mailing address:
  • Phone: 720-641-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESTHER HAN
Title or Position: DIRECTOR
Credential:
Phone: 720-641-5430