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NPI Code Detail

MEDICARE: COLORADO VNA, LLC

MEDICARE: COLORADO VNA, 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
1251E00000XHome Health AgencyNACO

Other Identifiers

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

General Provider Information

NPI Number : 1821092248
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO VNA, LLC
Provider Business Mailing Address
First Line : 6750 W 52ND AVE
Second Line :
City : ARVADA
State : CO
Zip : 80002-3928
Country : US
Telephone Number : 303-698-2121
Fax Number : 303-698-6373
Provider Business Practice Location Address
First Line : 6750 W 52ND AVE
Second Line :
City : ARVADA
State : CO
Zip : 80002-3928
Country : US
Telephone Number : 303-698-2121
Fax Number :
Authorized Official
Title or Position : CEO
Name : TIM J BOWEN
Credential :
Telephone Number : 303-398-6203
Provider Enumeration Date : 06/13/2005
Last Update Date : 12/08/2021

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