MEDICARE: SOAR HEALTH, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	106S00000X	Behavior Technician
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1649104563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOAR HEALTH, INC.

Provider Business Mailing Address
First Line	:	3401 QUEBEC ST STE 110
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-2322
Country	:	US
Telephone Number	:	720-709-2101
Fax Number	:	855-913-2517

Provider Business Practice Location Address
First Line	:	3801 AUTOMATION WAY STE 130
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-5734
Country	:	US
Telephone Number	:	720-706-3396
Fax Number	:	855-913-2517

Authorized Official
Title or Position	:	SENIOR VP CENTRAL OPERATIONS
Name	:	MATTHEW DURST
Credential	:
Telephone Number	:	720-709-2101

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “SOAR HEALTH, INC. ” Practice Location

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