Healthcare Provider Details

I. General information

NPI: 1003686411
Provider Name (Legal Business Name): HEARTS OF COLORADO HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 01/05/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1562 S PARKER RD STE 310
DENVER CO
80231-2721
US

IV. Provider business mailing address

PO BOX 39261
DENVER CO
80239-0261
US

V. Phone/Fax

Practice location:
  • Phone: 720-589-6863
  • Fax:
Mailing address:
  • Phone: 720-589-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAVANNAH WATSON
Title or Position: OWNER
Credential:
Phone: 720-589-6863