Healthcare Provider Details

I. General information

NPI: 1134665490
Provider Name (Legal Business Name): ALLIANCE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S PARKER RD # A-104
DENVER CO
80231-2758
US

IV. Provider business mailing address

1402 S PARKER RD # A-104
DENVER CO
80231-2758
US

V. Phone/Fax

Practice location:
  • Phone: 303-745-3409
  • Fax: 720-596-5254
Mailing address:
  • Phone: 303-750-0804
  • Fax: 720-596-5254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: LEAH COHEN
Title or Position: OWNER
Credential:
Phone: 303-745-3409