Healthcare Provider Details

I. General information

NPI: 1952789331
Provider Name (Legal Business Name): ALPINE HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2015
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 E GIRARD AVE BLDG A STE 200
DENVER CO
80231-5500
US

IV. Provider business mailing address

10200 E GIRARD AVE BLDG A STE 200
DENVER CO
80231-5500
US

V. Phone/Fax

Practice location:
  • Phone: 303-309-6202
  • Fax:
Mailing address:
  • Phone: 303-309-6202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number10R723
License Number StateCO

VIII. Authorized Official

Name: MR. ALIK A KASSNER
Title or Position: DIRECTOR
Credential:
Phone: 303-601-3538