MEDICARE: SENIORS HELPING SENIORS OF NORTHERN COLORADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	04N661	CO

General Provider Information

NPI Number	:	1023424702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIORS HELPING SENIORS OF NORTHERN COLORADO

Provider Business Mailing Address
First Line	:	826 BLONDEL ST UNIT 101
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2583
Country	:	US
Telephone Number	:	970-631-8251
Fax Number	:	970-797-2395

Provider Business Practice Location Address
First Line	:	826 BLONDEL ST UNIT 101
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2583
Country	:	US
Telephone Number	:	970-631-8251
Fax Number	:	970-797-2395

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA GABEL
Credential	:
Telephone Number	:	970-631-8251

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	07/07/2014

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