=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164792339
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARGUS HOME CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2012
-----------------------------------------------------
Last Update Date | 12/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 120 N 9TH ST STE C
-----------------------------------------------------
City | CANON CITY
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81212-3464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-275-1101
-----------------------------------------------------
Fax | 719-275-1102
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 120 N 9TH ST STE C
-----------------------------------------------------
City | CANON CITY
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81212-3464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-275-1101
-----------------------------------------------------
Fax | 719-275-1102
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | IVA LOU BAILEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-322-4100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 04L896
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------