MEDICARE: EH HOME HEALTH OF COLORADO 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	251G00000X	Community Based Hospice Care 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

General Provider Information

NPI Number	:	1346797925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EH HOME HEALTH OF COLORADO LLC

Provider Business Mailing Address
First Line	:	6688 N CENTRAL EXPRESSWAY
Second Line	:	SUITE 1300
City	:	DALLAS
State	:	TX
Zip	:	75206-3950
Country	:	US
Telephone Number	:	214-239-6500
Fax Number	:	214-239-6581

Provider Business Practice Location Address
First Line	:	6021 S SYRACUSE WAY STE 204
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4747
Country	:	US
Telephone Number	:	303-940-9999
Fax Number	:	303-421-2889

Authorized Official
Title or Position	:	EVP OF HOME HEALTH OPERATIONS
Name	:	JULIE DIANE JOLLEY
Credential	:
Telephone Number	:	214-239-6500

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	12/31/2024

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