Healthcare Provider Details
I. General information
NPI: 1063198729
Provider Name (Legal Business Name): ANEW DAY ADULT SERVICES L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 S MONACO PKWY UNIT 9
DENVER CO
80224-1892
US
IV. Provider business mailing address
1200 S MONACO PKWY UNIT 9
DENVER CO
80224-1892
US
V. Phone/Fax
- Phone: 720-421-8258
- Fax:
- Phone: 720-421-8258
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NADEEN
ELMUGTABA
Title or Position: OWNER
Credential:
Phone: 720-421-8258