Healthcare Provider Details

I. General information

NPI: 1558277004
Provider Name (Legal Business Name): LOVELY HANDS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 S ALTON CT
DENVER CO
80247-2358
US

IV. Provider business mailing address

1169 S ALTON CT
DENVER CO
80247-2358
US

V. Phone/Fax

Practice location:
  • Phone: 720-505-9559
  • Fax:
Mailing address:
  • Phone: 720-505-9559
  • 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: ANWAR DAFALLA
Title or Position: ADMINISTRATOR
Credential:
Phone: 720-505-9559