MEDICARE: HOME HEALTH CARE OF COLORADO, INC.

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	251E00000X	Home Health Agency	04J555	CO

General Provider Information

NPI Number	:	1336435353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE OF COLORADO, INC.

Provider Business Mailing Address
First Line	:	2915 UPHAM ST
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-8067
Country	:	US
Telephone Number	:	303-237-0237
Fax Number	:	303-237-3237

Provider Business Practice Location Address
First Line	:	2915 UPHAM ST
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-8067
Country	:	US
Telephone Number	:	303-237-0237
Fax Number	:	303-237-3237

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JON GEARHART
Credential	:
Telephone Number	:	303-237-0237

Provider Enumeration Date	:	06/28/2011
Last Update Date	:	06/28/2011

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