Healthcare Provider Details

I. General information

NPI: 1174047401
Provider Name (Legal Business Name): ARANT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 W 12TH ST
PUEBLO CO
81003-2815
US

IV. Provider business mailing address

418 W 12TH ST
PUEBLO CO
81003-2815
US

V. Phone/Fax

Practice location:
  • Phone: 719-543-4220
  • Fax: 719-543-7633
Mailing address:
  • Phone: 719-543-4220
  • Fax: 719-543-7633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04L409
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number04L409
License Number StateCO
# 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: BRIAN ERIC ARANT
Title or Position: PRESIDENT/CEO
Credential:
Phone: 719-543-4220