Healthcare Provider Details

I. General information

NPI: 1851057905
Provider Name (Legal Business Name): 5280 HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E ORCHARD RD STE 210-S
GREENWOOD VILLAGE CO
80111-2528
US

IV. Provider business mailing address

7400 E ORCHARD RD STE 210-S
GREENWOOD VILLAGE CO
80111-2528
US

V. Phone/Fax

Practice location:
  • Phone: 720-504-0000
  • Fax: 720-504-1111
Mailing address:
  • Phone: 720-504-0000
  • Fax: 720-504-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YEVGENIY MAGAY
Title or Position: ADMINISTRATOR
Credential:
Phone: 720-504-0000