Healthcare Provider Details

I. General information

NPI: 1902270549
Provider Name (Legal Business Name): SISTER SISTER HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 S JAMAICA CT STE 302
AURORA CO
80014-2626
US

IV. Provider business mailing address

2950 S JAMAICA CT STE 302
AURORA CO
80014-2626
US

V. Phone/Fax

Practice location:
  • Phone: 720-465-4132
  • Fax: 303-745-3422
Mailing address:
  • Phone: 720-465-4132
  • Fax: 303-745-3422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number04B425
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number04B425
License Number StateCO

VIII. Authorized Official

Name: MRS. ERICA CATHERINE TORRES
Title or Position: AGENCY MANAGER
Credential: M.S.
Phone: 720-465-4132