MEDICARE: 2UPLIFT HOMECARE LLC

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	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1790595668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	2UPLIFT HOMECARE LLC

Provider Business Mailing Address
First Line	:	9745 E HAMPDEN AVE STE 407
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4924
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9745 E HAMPDEN AVE STE 407
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4924
Country	:	US
Telephone Number	:	720-313-0149
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHUKRI ADAN
Credential	:
Telephone Number	:	720-313-0149

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	02/04/2026

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Directions to “2UPLIFT HOMECARE LLC ” Practice Location

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