NPI Code Details Logo

NPI 1740142439

NPI 1740142439 : HIGH PLAINS HOME CARE INC : CASTLE ROCK, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740142439
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HIGH PLAINS HOME CARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/01/2025
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5543 LAKE GULCH RD 
-----------------------------------------------------
    City                 |    CASTLE ROCK
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80104-9726
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-776-4761
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5543 LAKE GULCH RD 
-----------------------------------------------------
    City                 |    CASTLE ROCK
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80104-9726
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-776-4761
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    BUSINESS OWNER
-----------------------------------------------------
    Name                 |     JOHN  ROGERS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    650-776-4761
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.