Healthcare Provider Details

I. General information

NPI: 1447114962
Provider Name (Legal Business Name): LIFE WISDOM AND HOPE COMMUNITY HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 DAYTON ST
AURORA CO
80010-3232
US

IV. Provider business mailing address

1445 DAYTON ST
AURORA CO
80010-3232
US

V. Phone/Fax

Practice location:
  • Phone: 833-221-4169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAISHA FIELDS
Title or Position: PRESIDENT
Credential:
Phone: 833-221-4169