Healthcare Provider Details

I. General information

NPI: 1437919693
Provider Name (Legal Business Name): AAA CARE SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 S COLLEGE AVE UNIT 215B
FORT COLLINS CO
80525-4196
US

IV. Provider business mailing address

2921 TIMBERWOOD DR APT 1603
FORT COLLINS CO
80528-3014
US

V. Phone/Fax

Practice location:
  • Phone: 970-317-7289
  • Fax:
Mailing address:
  • Phone: 970-317-7289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: AMEL ELSHIEKH
Title or Position: OWNER/ MANAGER
Credential:
Phone: 970-317-7289