Healthcare Provider Details

I. General information

NPI: 1699414029
Provider Name (Legal Business Name): HEALTH ESSENTIALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 14TH ST
BURLINGTON CO
80807-1609
US

IV. Provider business mailing address

451 14TH ST
BURLINGTON CO
80807-1609
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-4681
  • Fax: 719-346-8742
Mailing address:
  • Phone: 719-346-4681
  • Fax: 719-346-8742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEREMIAH J BOGENHAGEN
Title or Position: OWNER/CEO
Credential:
Phone: 719-346-4681