Healthcare Provider Details
I. General information
NPI: 1073688164
Provider Name (Legal Business Name): ALL VALLEY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2006
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2480 WEST 26TH AVE SUITE 80-B
DENVER CO
80211
US
IV. Provider business mailing address
2480 WEST 26TH AVE SUITE 80-B
DENVER CO
80211
US
V. Phone/Fax
- Phone: 303-252-4477
- Fax: 303-252-4478
- Phone: 303-252-4477
- Fax: 303-252-4478
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMILIE
AMADOR
Title or Position: PARTNER
Credential:
Phone: 702-960-5846