MEDICARE: PURPOSEFUL HOME CARE AGENCY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841146792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSEFUL HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	20714 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20714 E 47TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-7358
Country	:	US
Telephone Number	:	720-676-9592
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARY WALENTOSKY
Credential	:
Telephone Number	:	720-676-9592

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/06/2026

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