Healthcare Provider Details

I. General information

NPI: 1063920692
Provider Name (Legal Business Name): ABLECARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8973 E KENYON AVE STE 250
DENVER CO
80237-1836
US

IV. Provider business mailing address

8973 E KENYON AVE STE 250
DENVER CO
80237-1836
US

V. Phone/Fax

Practice location:
  • Phone: 303-296-1095
  • Fax: 303-296-3936
Mailing address:
  • Phone: 303-296-1095
  • Fax: 303-296-3936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04C969
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CATRINA HUGHES
Title or Position: REGIONAL AUTHORIZATIONS MANAGER
Credential:
Phone: 719-635-2003