MEDICARE: HEATHER-GAIL CAMILLA RAYMOND

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	374U00000X	Home Health Aide	00840085	CO
2	3747P1801X	Personal Care Attendant	00840085	CO

General Provider Information

NPI Number	:	1578408894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER-GAIL CAMILLA RAYMOND

Provider Business Mailing Address
First Line	:	21589 E ALAMO PL
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-3513
Country	:	US
Telephone Number	:	720-257-9583
Fax Number	:

Provider Business Practice Location Address
First Line	:	21589 E ALAMO PL
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-3513
Country	:	US
Telephone Number	:	720-257-9583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ HEATHER-GAIL CAMILLA RAYMOND ” Practice Location

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