MEDICARE: WIICARE 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2887-BHE001	OTHER	CO	COLORADO BEHAVIORAL HEALTH ADMINISTRATION

General Provider Information

NPI Number	:	1528891934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIICARE COLORADO LLC

Provider Business Mailing Address
First Line	:	1501 W EMERALD KEY CT
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-6114
Country	:	US
Telephone Number	:	482-452-9149
Fax Number	:

Provider Business Practice Location Address
First Line	:	1642 S PARKER RD STE 307
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2917
Country	:	US
Telephone Number	:	480-452-9149
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NAWAL MOHAMMAD
Credential	:
Telephone Number	:	804-469-0044

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

Similar Medicare Providers

1659513984 — COLORADO SPIRIT TRANSPORTATION, INC.
Practice Location Address:

1642 S PARKER RD STE 307
DENVER, CO
80231-2917

Practice Phone: 303-695-8888
Practice Fax:

1366959785 — GRACE HOME CARE AGENCY LLC
Practice Location Address:

1642 S PARKER RD STE 310A
DENVER, CO
80231-2917

Practice Phone: 720-535-4301
Practice Fax:

1447230966 — DR. RICHARD K. MANN DDS
Practice Location Address:

7100 BROADWAY
DENVER, CO
80221-2917

Practice Phone: 303-650-5800
Practice Fax: 303-650-5800

1124401195 — MRS. HEIDI LYNN MILLER M.S. CF-SLP
Practice Location Address:

4502 W 11TH AVE
DENVER, CO
80204-2917

Practice Phone: 720-272-1289
Practice Fax:

1295260669 — MALLORY REGAN
Practice Location Address:

1010 N CORONA ST , APT 203
DENVER, CO
80218-2917

Practice Phone: 440-554-1380
Practice Fax:

1114557527 — GISSEL BLANCA GONZALEZ
Practice Location Address:

77 S ADAMS ST APT 604
DENVER, CO
80209-2917

Practice Phone: 406-210-7521
Practice Fax:

Directions to “WIICARE COLORADO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.