Healthcare Provider Details

I. General information

NPI: 1144792912
Provider Name (Legal Business Name): DENVER SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 S FEDERAL BLVD
DENVER CO
80219-4720
US

IV. Provider business mailing address

1701 S FEDERAL BLVD
DENVER CO
80219-4898
US

V. Phone/Fax

Practice location:
  • Phone: 303-936-1760
  • Fax: 303-934-4036
Mailing address:
  • Phone: 720-666-5116
  • Fax: 303-934-4036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NANCY NGUYEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 720-666-5116