Healthcare Provider Details

I. General information

NPI: 1184160327
Provider Name (Legal Business Name): ADULT DAY CARE SERVICES OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3852 S TRUCKEE WAY
AURORA CO
80013-3165
US

IV. Provider business mailing address

3852 S TRUCKEE WAY
AURORA CO
80013-3165
US

V. Phone/Fax

Practice location:
  • Phone: 720-275-0678
  • Fax:
Mailing address:
  • Phone: 720-275-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: RUAYDA SANDOVAL
Title or Position: OWNER
Credential:
Phone: 720-275-0678