Healthcare Provider Details
I. General information
NPI: 1851978159
Provider Name (Legal Business Name): WEST CARE HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2021
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11409 BUSINESS PARK CIR STE 200
FIRESTONE CO
80504-9203
US
IV. Provider business mailing address
11409 BUSINESS PARK CIR STE 200
FIRESTONE CO
80504-9203
US
V. Phone/Fax
- Phone: 720-727-1141
- Fax: 303-593-0238
- Phone: 720-727-1141
- Fax: 303-593-0238
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CASEY
HORN
Title or Position: OWNER
Credential:
Phone: 720-394-7236