MEDICARE: GREATER DENVER HOME HEALTH CARE 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	253Z00000X	In Home Supportive 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	:	1356017099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER DENVER HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	1582 S PARKER RD STE 306
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2717
Country	:	US
Telephone Number	:	720-535-1504
Fax Number	:	303-353-8074

Provider Business Practice Location Address
First Line	:	1582 S PARKER RD STE 306
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2717
Country	:	US
Telephone Number	:	720-535-1504
Fax Number	:	303-353-8074

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AHMED RABI KAHIN
Credential	:
Telephone Number	:	720-535-1504

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	08/23/2021

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