MEDICARE: SOAR HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	103T00000X	Psychologist
3	106S00000X	Behavior Technician
4	225X00000X	Occupational Therapist
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1427748151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOAR HEALTH

Provider Business Mailing Address
First Line	:	3401 QUEBEC ST STE 110
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-2322
Country	:	US
Telephone Number	:	214-533-7255
Fax Number	:

Provider Business Practice Location Address
First Line	:	10170 CHURCH RANCH WAY
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-6058
Country	:	US
Telephone Number	:	720-637-2327
Fax Number	:

Authorized Official
Title or Position	:	HEAD OF GROWTH AND DEVELOPMENT
Name	:	DANIEL SPIEGEL
Credential	:
Telephone Number	:	214-533-7255

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	07/18/2024

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Directions to “SOAR HEALTH ” Practice Location

Language	Start Address	Practice Location

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