Healthcare Provider Details

I. General information

NPI: 1558023036
Provider Name (Legal Business Name): CITYWIDE HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 10/12/2021
Certification Date: 09/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 S PARKER RD STE 202
DENVER CO
80231-2921
US

IV. Provider business mailing address

1602 S PARKER RD STE 202
DENVER CO
80231-2921
US

V. Phone/Fax

Practice location:
  • Phone: 720-897-9649
  • Fax: 720-640-2822
Mailing address:
  • Phone: 720-897-9649
  • Fax: 720-640-2822

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

VIII. Authorized Official

Name: OMAR AHMED IGEH
Title or Position: CFO
Credential:
Phone: 614-598-8352