MEDICARE: ACCENT ON INDEPENDENCE, LLC

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	253Z00000X	In Home Supportive Care Agency	10E991	CO
2	376J00000X	Homemaker
3	385H00000X	Respite Care
4	251E00000X	Home Health 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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174590335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCENT ON INDEPENDENCE, LLC

Provider Business Mailing Address
First Line	:	1550 DOVER ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-3106
Country	:	US
Telephone Number	:	303-331-0818
Fax Number	:	303-321-3015

Provider Business Practice Location Address
First Line	:	1550 DOVER ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-3106
Country	:	US
Telephone Number	:	303-331-0818
Fax Number	:	303-321-3015

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DAVID BOLIN
Credential	:
Telephone Number	:	303-331-0818

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	03/13/2019

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Directions to “ACCENT ON INDEPENDENCE, LLC ” Practice Location

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