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General NPI Number Information
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NPI Number | 1154933570
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Entity Type | Organization
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Legal Business Name | HOMEWELL CARE SERVICES OF COLORADO LLC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 3001 TAFT AVE STE 100
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City | LOVELAND
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State | CO
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Zip | 80538-8307
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Country | US
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Telephone | 970-461-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 18 BROOKHAVEN LN
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City | LITTLETON
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State | CO
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Zip | 80123-6685
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Country | US
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Telephone | 717-917-3416
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. THOMAS B MANGAS
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Credential |
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Telephone | 717-917-3416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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