Healthcare Provider Details
I. General information
NPI: 1407685878
Provider Name (Legal Business Name): SCL FRONT RANGE HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1960 N OGDEN ST STE 280
DENVER CO
80218-3664
US
IV. Provider business mailing address
1960 N OGDEN ST STE 280
DENVER CO
80218-3664
US
V. Phone/Fax
- Phone: 303-403-6000
- Fax: 720-248-3943
- Phone: 303-403-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SONYA
D
NEUMANN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 303-403-6000