Healthcare Provider Details

I. General information

NPI: 1174590335
Provider Name (Legal Business Name): ACCENT ON INDEPENDENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 DOVER ST
LAKEWOOD CO
80215-3106
US

IV. Provider business mailing address

1550 DOVER ST
LAKEWOOD CO
80215-3106
US

V. Phone/Fax

Practice location:
  • Phone: 303-331-0818
  • Fax: 303-321-3015
Mailing address:
  • Phone: 303-331-0818
  • Fax: 303-321-3015

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 Number10E991
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DAVID BOLIN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 303-331-0818