=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669720389
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NUMBER 2 HOMECARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2012
-----------------------------------------------------
Last Update Date | 06/25/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 911 S. HAVANA ST. #F
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80012-3034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-300-1852
-----------------------------------------------------
Fax | 720-535-7096
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 911 S. HAVANA ST. #F
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80012-3034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-300-1852
-----------------------------------------------------
Fax | 720-535-7096
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ESTHER HAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 213-864-1216
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------