MEDICARE: PARKER PERSONAL CARE HOMES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253J00000X	Foster Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	376J00000X	Homemaker
4	385H00000X	Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1154284800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER PERSONAL CARE HOMES

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	:	323 S UNION AVE
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-3429
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	:	12/08/2025
Last Update Date	:	12/08/2025

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