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NPI Code Detail

MEDICARE: GIVEN' HOME HEALTH PC

MEDICARE: GIVEN' HOME HEALTH PC
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
1253Z00000XIn Home Supportive Care Agency04M216CO
2251E00000XHome Health Agency04G928CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120121089383OTHERCOSTATE OF COLORADO IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3078410174OTHERCODUNS
404M216OTHERCOCOLORADO DEPARTMENT OF HEALTH CLASS B SUBLICENSE
56RV43OTHERCOCAGE
604G928OTHERCOCOLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

General Provider Information

NPI Number : 1285909093
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIVEN' HOME HEALTH PC
Provider Business Mailing Address
First Line : 3198 F RD STE 101
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-4039
Country : US
Telephone Number : 970-985-4483
Fax Number : 970-985-4067
Provider Business Practice Location Address
First Line : 3198 F RD STE 101
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-4039
Country : US
Telephone Number : 970-985-4483
Fax Number : 970-985-4067
Authorized Official
Title or Position : CEO, ADMINISTRATOR
Name : MS. SANDRA J SHEPHERD
Credential : RN
Telephone Number : 970-985-4483
Provider Enumeration Date : 03/12/2012
Last Update Date : 05/19/2022

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Directions to “GIVEN' HOME HEALTH PC ” Practice Location

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