NPI Code Details Logo

NPI 1275406373

NPI 1275406373 : CHI NATIONAL HOME CARE, LLC : CENTENNIAL, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275406373
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CHI NATIONAL HOME CARE, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2025
-----------------------------------------------------
    Last Update Date     |    09/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9100 E MINERAL CIR 
-----------------------------------------------------
    City                 |    CENTENNIAL
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80112-3401
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-561-5193
-----------------------------------------------------
    Fax                  |    720-455-9546
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9100 E MINERAL CIR 
-----------------------------------------------------
    City                 |    CENTENNIAL
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80112-3401
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-561-5193
-----------------------------------------------------
    Fax                  |    720-455-9546
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP, FINANCE/CFO
-----------------------------------------------------
    Name                 |    MR. JACK DANIEL HAWKINS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    513-477-6305
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QH0002X
-----------------------------------------------------
    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.