Healthcare Provider Details

I. General information

NPI: 1194412965
Provider Name (Legal Business Name): ATTENTIVE CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 COURT ST
PUEBLO CO
81003-2713
US

IV. Provider business mailing address

1319 COURT ST
PUEBLO CO
81003-2713
US

V. Phone/Fax

Practice location:
  • Phone: 719-867-4030
  • Fax: 719-470-2217
Mailing address:
  • Phone: 719-867-4030
  • Fax: 719-470-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MINH KHANG THI BUI
Title or Position: OWNER/PRESIDENT
Credential: NP
Phone: 719-271-9974