MEDICARE: MOM'S HANDS HOMECARE AGENCY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	376J00000X	Homemaker
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	253Z00000X	In Home Supportive Care Agency
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1538981881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOM'S HANDS HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	20986 E 61ST AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80019-2264
Country	:	US
Telephone Number	:	720-757-4293
Fax Number	:

Provider Business Practice Location Address
First Line	:	20986 E 61ST AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80019-2264
Country	:	US
Telephone Number	:	720-757-4293
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	SEIFU TULU
Credential	:
Telephone Number	:	720-757-4293

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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