Healthcare Provider Details

I. General information

NPI: 1518540418
Provider Name (Legal Business Name): PROXIMITY HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 12/24/2022
Certification Date: 12/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1562 S PARKER RD STE 110
DENVER CO
80231-2719
US

IV. Provider business mailing address

1562 S PARKER RD STE 110
DENVER CO
80231-2719
US

V. Phone/Fax

Practice location:
  • Phone: 720-280-4741
  • Fax:
Mailing address:
  • Phone: 720-280-4741
  • 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: ABDISALAM M AIMAD
Title or Position: MANAGER
Credential:
Phone: 720-280-4741