Healthcare Provider Details

I. General information

NPI: 1740651322
Provider Name (Legal Business Name): A PLUS PERSONAL CARE PROVIDER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 11/11/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 E TENNESSEE AVE STE 421
DENVER CO
80224-1632
US

IV. Provider business mailing address

6825 E TENNESSEE AVE STE 421
DENVER CO
80224-1632
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-3497
  • Fax: 303-399-3479
Mailing address:
  • Phone: 303-399-3497
  • Fax: 303-399-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCO
# 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: ZHANNA LEVIN
Title or Position: DIRECTOR
Credential:
Phone: 720-318-9393