MEDICARE: MOUNTAIN HOME HEALTH CARE INC.

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		CO

Other Identifiers

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

General Provider Information

NPI Number	:	1861530818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	1455 AMMONS ST STE 201
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80214-4093
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 E BIJOU ST STE 202
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-8001
Country	:	US
Telephone Number	:	719-634-7766
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LOUIS COLAIANNIA
Credential	:
Telephone Number	:	303-424-2420

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/21/2022

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Directions to “MOUNTAIN HOME HEALTH CARE INC. ” Practice Location

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