Healthcare Provider Details

I. General information

NPI: 1174689392
Provider Name (Legal Business Name): SPECTRUM OF LIFE HOME HEALTH & HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5650 GREENWOOD PLAZA BLVD #135
GREENWOOD VILLAGE CO
80111-2307
US

IV. Provider business mailing address

5650 GREENWOOD PLAZA BLVD #135
GREENWOOD VILLAGE CO
80111-2307
US

V. Phone/Fax

Practice location:
  • Phone: 303-770-6717
  • Fax:
Mailing address:
  • Phone: 303-770-6717
  • Fax:

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: JUNE H. WEISS
Title or Position: PRESIDENT
Credential: RB
Phone: 303-770-6717