Healthcare Provider Details

I. General information

NPI: 1033404611
Provider Name (Legal Business Name): WORLDWIDE ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10890 E DARTMOUTH AVE STE I
DENVER CO
80014-4857
US

IV. Provider business mailing address

10890 E DARTMOUTH AVE STE I
DENVER CO
80014-4857
US

V. Phone/Fax

Practice location:
  • Phone: 303-815-6285
  • Fax: 303-751-9171
Mailing address:
  • Phone: 303-815-6285
  • Fax: 303-751-9171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number StateCO

VIII. Authorized Official

Name: RIMA KIRISHYAN
Title or Position: ADMIN
Credential:
Phone: 303-815-6285