Healthcare Provider Details

I. General information

NPI: 1265853022
Provider Name (Legal Business Name): GREATER DENVER HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2013
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1582 S PARKER RD STE 306
DENVER CO
80231-2717
US

IV. Provider business mailing address

1582 S PARKER RD STE 306
DENVER CO
80231-2717
US

V. Phone/Fax

Practice location:
  • Phone: 303-353-8074
  • Fax: 720-535-1417
Mailing address:
  • Phone: 303-353-8074
  • Fax: 720-535-1417

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
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED I AHMED
Title or Position: PRESIDENT
Credential:
Phone: 720-535-1504