Healthcare Provider Details

I. General information

NPI: 1740145465
Provider Name (Legal Business Name): PARKER PERSONAL CARE HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 PEARL PKWY
BOULDER CO
80301-2438
US

IV. Provider business mailing address

1597 COLE BLVD STE 300
LAKEWOOD CO
80401-3424
US

V. Phone/Fax

Practice location:
  • Phone: 303-424-6078
  • Fax: 303-424-6194
Mailing address:
  • Phone: 303-424-6078
  • Fax: 303-424-6194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: SCOTT PARKER
Title or Position: PRESIDENT
Credential:
Phone: 303-424-6078