Healthcare Provider Details

I. General information

NPI: 1134034481
Provider Name (Legal Business Name): ROARING FORK HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 S WILDHORSE DR
NEW CASTLE CO
81647-9486
US

IV. Provider business mailing address

PO BOX 674
NEW CASTLE CO
81647-0674
US

V. Phone/Fax

Practice location:
  • Phone: 970-404-6353
  • Fax: 970-404-6353
Mailing address:
  • Phone: 970-404-6353
  • Fax: 970-404-6353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. COURTNEY GABRIEL
Title or Position: OWNER
Credential:
Phone: 970-404-6353