Healthcare Provider Details

I. General information

NPI: 1386566743
Provider Name (Legal Business Name): AGELESS OASIS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S PARKER RD STE 6-167
AURORA CO
80014-1682
US

IV. Provider business mailing address

2600 S PARKER RD STE 6-167
AURORA CO
80014-1682
US

V. Phone/Fax

Practice location:
  • Phone: 720-767-8776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: SURA ALWUKEL
Title or Position: OWNER
Credential:
Phone: 720-767-8776