MEDICARE: SYNERGY HOME HEALTHCARE AGENCY

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	:	1508374737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY HOME HEALTHCARE AGENCY

Provider Business Mailing Address
First Line	:	1642 S PARKER RD STE 211
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2916
Country	:	US
Telephone Number	:	303-861-3743
Fax Number	:	303-861-3955

Provider Business Practice Location Address
First Line	:	1642 S PARKER RD STE 211
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2916
Country	:	US
Telephone Number	:	303-861-3743
Fax Number	:	303-861-3955

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CITIZEN KANE
Credential	:
Telephone Number	:	303-861-3743

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	01/23/2018

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