Healthcare Provider Details

I. General information

NPI: 1063131977
Provider Name (Legal Business Name): ROCK AT HOME LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W MINERAL AVE STE 121
LITTLETON CO
80120-4510
US

IV. Provider business mailing address

151 W MINERAL AVE STE 121
LITTLETON CO
80120-4510
US

V. Phone/Fax

Practice location:
  • Phone: 303-919-0182
  • Fax:
Mailing address:
  • Phone: 303-919-0182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER HJELMSTAD
Title or Position: PRESIDENT
Credential:
Phone: 303-919-0182