Healthcare Provider Details

I. General information

NPI: 1154957819
Provider Name (Legal Business Name): PRECIOUS HANDS COMMUNITY HELPERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2020
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 S TAFT AVE APT 207
LOVELAND CO
80537-7346
US

IV. Provider business mailing address

1840 S TAFT AVE APT 207
LOVELAND CO
80537-7346
US

V. Phone/Fax

Practice location:
  • Phone: 970-231-6054
  • Fax: 970-776-9742
Mailing address:
  • Phone: 970-231-6054
  • Fax: 970-776-9742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 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: DR. LUCY NGENDO MWANGI
Title or Position: DIRECTOR
Credential:
Phone: 970-231-6054