Healthcare Provider Details

I. General information

NPI: 1033713805
Provider Name (Legal Business Name): ALERACARE OF COLORADO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 FORTINO BLVD
PUEBLO CO
81008-2032
US

IV. Provider business mailing address

5350 E HIGH ST STE 300
PHOENIX AZ
85054-5561
US

V. Phone/Fax

Practice location:
  • Phone: 888-209-8874
  • Fax:
Mailing address:
  • Phone: 888-209-8874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIANNE LABARBERA
Title or Position: PRESIDENT
Credential: MD
Phone: 888-209-8874