MEDICARE: STELLAR CARE AND SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	3747P1801X	Personal Care Attendant
2	376J00000X	Homemaker
3	385H00000X	Respite Care
4	251C00000X	Developmentally Disabled Services Day Training Agency	CO
5	253Z00000X	In Home Supportive Care Agency
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7	347C00000X	Private Vehicle	CO
8	347C00000X	Private Vehicle
9	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	CO

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	:	1326402512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLAR CARE AND SERVICES, LLC

Provider Business Mailing Address
First Line	:	10090 GARRISON ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-3894
Country	:	US
Telephone Number	:	303-452-3600
Fax Number	:	866-372-8722

Provider Business Practice Location Address
First Line	:	10090 GARRISON ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-3894
Country	:	US
Telephone Number	:	303-452-3600
Fax Number	:	866-372-8722

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. ROBERT ANDREW HEDDEN
Credential	:
Telephone Number	:	719-344-8931

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	09/13/2021

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Directions to “STELLAR CARE AND SERVICES, LLC ” Practice Location

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