MEDICARE: PROXIMITY HOME HEALTH CARE

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	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1114604782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROXIMITY HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	2170 S PARKER RD STE 285
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5710
Country	:	US
Telephone Number	:	720-280-4741
Fax Number	:

Provider Business Practice Location Address
First Line	:	2170 S PARKER RD STE 285
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5710
Country	:	US
Telephone Number	:	720-280-4741
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ABDISALAM M AIMAD
Credential	:
Telephone Number	:	720-280-4741

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	12/04/2025

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Directions to “PROXIMITY HOME HEALTH CARE ” Practice Location

Language	Start Address	Practice Location

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