Healthcare Provider Details

I. General information

NPI: 1932614401
Provider Name (Legal Business Name): PARKER PERSONAL CARE HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 MCCASLIN BLVD STE 200
LOUISVILLE CO
80027-2932
US

IV. Provider business mailing address

1597 COLE BLVD STE 300
LAKEWOOD CO
80401-3424
US

V. Phone/Fax

Practice location:
  • Phone: 303-482-2941
  • Fax:
Mailing address:
  • Phone: 303-424-6078
  • Fax: 303-424-6194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3755
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number77
License Number StateCO

VIII. Authorized Official

Name: SCOTT PARKER
Title or Position: PRESIDENT
Credential:
Phone: 303-424-6078