Healthcare Provider Details

I. General information

NPI: 1700142353
Provider Name (Legal Business Name): 247 HOME HEALTH CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 03/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 E TUFTS AVE SUITE 250
DENVER CO
80237-2835
US

IV. Provider business mailing address

8055 E TUFTS AVE SUITE 250
DENVER CO
80237-2835
US

V. Phone/Fax

Practice location:
  • Phone: 303-247-1111
  • Fax: 303-247-9999
Mailing address:
  • Phone: 303-247-1111
  • Fax: 303-247-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04Q176
License Number StateCO

VIII. Authorized Official

Name: TATYANA AKHMETOVA
Title or Position: CEO
Credential:
Phone: 303-247-1111