MEDICARE: PARKER PERSONAL CARE HOMES, INC.

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	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033811880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER PERSONAL CARE HOMES, INC.

Provider Business Mailing Address
First Line	:	1597 COLE BLVD STE 300
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3424
Country	:	US
Telephone Number	:	303-424-6078
Fax Number	:	303-424-6194

Provider Business Practice Location Address
First Line	:	11811 UPHAM ST UNIT 5A
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-2754
Country	:	US
Telephone Number	:	303-424-6078
Fax Number	:	303-424-6194

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT PARKER
Credential	:
Telephone Number	:	303-424-6078

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	12/08/2025

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