Healthcare Provider Details

I. General information

NPI: 1154284800
Provider Name (Legal Business Name): PARKER PERSONAL CARE HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

323 S UNION AVE
PUEBLO CO
81003-3429
US

IV. Provider business mailing address

1597 COLE BLVD STE 300
LAKEWOOD CO
80401-3424
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care 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
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

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