Healthcare Provider Details

I. General information

NPI: 1598683252
Provider Name (Legal Business Name): ASNAKECH DEMMISSIE GEBREGEORGIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 S HALEYVILLE ST
AURORA CO
80016-4472
US

IV. Provider business mailing address

5600 S HALEYVILLE ST
AURORA CO
80016-4472
US

V. Phone/Fax

Practice location:
  • Phone: 720-569-5881
  • Fax:
Mailing address:
  • Phone: 720-569-5881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: