Healthcare Provider Details

I. General information

NPI: 1720778921
Provider Name (Legal Business Name): ALHH COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S TEJON ST # 1142
COLORADO SPRINGS CO
80903-2231
US

IV. Provider business mailing address

102 S TEJON ST # 1142
COLORADO SPRINGS CO
80903-2231
US

V. Phone/Fax

Practice location:
  • Phone: 719-257-2101
  • Fax:
Mailing address:
  • Phone: 719-257-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL R ALLEY
Title or Position: CEO
Credential:
Phone: 817-505-2575