Healthcare Provider Details

I. General information

NPI: 1891019899
Provider Name (Legal Business Name): AUTHENTIC HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2010
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 S PARKER RD STE 101
DENVER CO
80231-8065
US

IV. Provider business mailing address

1260 S PARKER RD STE 101
DENVER CO
80231-8065
US

V. Phone/Fax

Practice location:
  • Phone: 720-535-6297
  • Fax: 720-535-5315
Mailing address:
  • Phone: 720-535-6297
  • Fax: 720-535-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberAPPLIED FOR
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDIRASHID SAYID
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 720-404-7502