Healthcare Provider Details
I. General information
NPI: 1508590910
Provider Name (Legal Business Name): ALL SEASONS HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2022
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8385 S YARROW ST
LITTLETON CO
80128-6138
US
IV. Provider business mailing address
716 RIDGEMONT PL
HIGHLANDS RANCH CO
80126-5583
US
V. Phone/Fax
- Phone: 720-808-7307
- Fax:
- Phone: 720-808-7307
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIKA
LENO
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 720-808-7306