Healthcare Provider Details

I. General information

NPI: 1770420242
Provider Name (Legal Business Name): AT HOME ASSISTANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9725 E HAMPDEN AVE STE 103
DENVER CO
80231-4916
US

IV. Provider business mailing address

9725 E HAMPDEN AVE STE 103
DENVER CO
80231-4916
US

V. Phone/Fax

Practice location:
  • Phone: 720-933-9040
  • 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 StateNULL

VIII. Authorized Official

Name: OLGA SKURATOVICH
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 720-933-9040