MEDICARE: MEDPROS HOMECARE 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

General Provider Information

NPI Number	:	1730775818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDPROS HOMECARE SERVICES

Provider Business Mailing Address
First Line	:	6531 S KELLERMAN WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-6199
Country	:	US
Telephone Number	:	307-220-3423
Fax Number	:

Provider Business Practice Location Address
First Line	:	10180 E COLFAX AVE # 297
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-5038
Country	:	US
Telephone Number	:	303-598-6737
Fax Number	:	303-598-6738

Authorized Official
Title or Position	:	EXECUTIVE MANAGER/OWNER
Name	:	JAMAL ALI
Credential	:
Telephone Number	:	303-598-6737

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	12/14/2020

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