MEDICARE: ATMANS COLORADO HEALTH CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376265975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATMANS COLORADO HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	21229 E PRINCETON PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-7447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 S JACKSON ST STE 480
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3805
Country	:	US
Telephone Number	:	303-656-9966
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ALEX GONIE
Credential	:
Telephone Number	:	626-272-5484

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	10/16/2022

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