MEDICARE: HEALTHCARE AGENCY CORP

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	:	1851128995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE AGENCY CORP

Provider Business Mailing Address
First Line	:	7030 S WHITE CROW WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-7645
Country	:	US
Telephone Number	:	720-710-7010
Fax Number	:

Provider Business Practice Location Address
First Line	:	7030 S WHITE CROW WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-7645
Country	:	US
Telephone Number	:	720-710-7010
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SOLWM ELHAFIZ IBRAHIEM
Credential	:
Telephone Number	:	720-710-7010

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	09/13/2024

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