Healthcare Provider Details

I. General information

NPI: 1043544745
Provider Name (Legal Business Name): MORNING STAR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9460 FEDERAL BLVD
FEDERAL HEIGHTS CO
80260-5826
US

IV. Provider business mailing address

9460 FEDERAL BLVD
FEDERAL HEIGHTS CO
80260-5826
US

V. Phone/Fax

Practice location:
  • Phone: 303-667-6032
  • Fax: 720-306-4615
Mailing address:
  • Phone: 303-667-6032
  • Fax: 720-306-4615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number251E00000X
License Number StateAZ

VIII. Authorized Official

Name: MR. MOSES MAJEKODUNMI
Title or Position: OWNER
Credential:
Phone: 720-435-4560