Healthcare Provider Details

I. General information

NPI: 1336624493
Provider Name (Legal Business Name): ABAMA HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 S PARKER RD STE 200E
DENVER CO
80231-2114
US

IV. Provider business mailing address

1220 S PARKER RD STE 200E
DENVER CO
80231-2114
US

V. Phone/Fax

Practice location:
  • Phone: 303-696-3722
  • Fax: 303-696-3721
Mailing address:
  • Phone: 303-696-3722
  • Fax: 303-696-3721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARINA ALALJAFAR
Title or Position: OWNER
Credential:
Phone: 303-696-3722