Healthcare Provider Details

I. General information

NPI: 1023921574
Provider Name (Legal Business Name): ROCKY MOUNTAIN GENTLECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9810 E COLORADO AVE APT. 208
DENVER CO
80247
US

IV. Provider business mailing address

3190 S VAUGHN WAY STE 550
AURORA CO
80014-3538
US

V. Phone/Fax

Practice location:
  • Phone: 701-213-3961
  • Fax:
Mailing address:
  • Phone: 701-213-3961
  • 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: ABDIRAHMAN ADAN HUSSEIN
Title or Position: CEO
Credential:
Phone: 701-213-3961