Healthcare Provider Details

I. General information

NPI: 1417633264
Provider Name (Legal Business Name): ENSO HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 S PARKER RD STE 265
DENVER CO
80231-5747
US

IV. Provider business mailing address

2170 S PARKER RD STE 265
DENVER CO
80231-5747
US

V. Phone/Fax

Practice location:
  • Phone: 303-955-8532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALMA ENRIQUEZ CRUZ
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 303-955-8532