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General NPI Number Information
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NPI Number | 1285057927
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Entity Type | Organization
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Legal Business Name | MGA HOME HEALTHCARE COLORADO, LLC
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 4100 E MISSISSIPPI AVE #1250
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City | GLENDALE
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State | CO
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Zip | 80246
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Country | US
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Telephone | 303-749-0424
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Fax | 303-749-0425
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Provider Business Mailing Address
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Address Line | 7025 N SCOTTSDALE RD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3675
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Country | US
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Telephone | 602-508-1883
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Fax | 602-385-4941
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CALVIN CRITCHFIELD
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Credential |
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Telephone | 719-476-0200
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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 | 04T749
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License Number State | CO
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