Healthcare Provider Details

I. General information

NPI: 1255308664
Provider Name (Legal Business Name): COLORADO COMPREHENSIVE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 08/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7895 MORRISON RD
LAKEWOOD CO
80227-3003
US

IV. Provider business mailing address

7895 MORRISON RD
LAKEWOOD CO
80227-3003
US

V. Phone/Fax

Practice location:
  • Phone: 303-986-3015
  • Fax: 303-986-3403
Mailing address:
  • Phone: 303-986-3015
  • Fax: 303-986-3403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ALETHA C ARMSTRONG
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 303-986-3015