MEDICARE: FRONT RANGE HOME CARE SERVICES

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
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588029961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONT RANGE HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	12391 E CORNELL AVE UNIT 3
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-3323
Country	:	US
Telephone Number	:	720-496-0044
Fax Number	:	720-440-7788

Provider Business Practice Location Address
First Line	:	12391 E CORNELL AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-3323
Country	:	US
Telephone Number	:	720-496-0044
Fax Number	:	720-440-7788

Authorized Official
Title or Position	:	MANAGE
Name	:	TYLER PHAN THORNTON
Credential	:
Telephone Number	:	720-496-0044

Provider Enumeration Date	:	12/29/2015
Last Update Date	:	02/25/2025

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Directions to “FRONT RANGE HOME CARE SERVICES ” Practice Location

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