Healthcare Provider Details

I. General information

NPI: 1841875002
Provider Name (Legal Business Name): PARK POINT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2764 COMPASS DR STE 244
GRAND JUNCTION CO
81506-8722
US

IV. Provider business mailing address

2764 COMPASS DR STE 244
GRAND JUNCTION CO
81506-8722
US

V. Phone/Fax

Practice location:
  • Phone: 970-208-1430
  • Fax: 970-249-5890
Mailing address:
  • Phone: 970-208-1430
  • Fax: 970-249-5890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AMBER L TUELLER
Title or Position: SECRETARY
Credential:
Phone: 208-207-2726