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NPI Code Detail

MEDICARE: PARKER PERSONAL CARE HOMES, INC.

MEDICARE: PARKER PERSONAL CARE HOMES, 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
1103TC0700XClinical Psychologist3755CO
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
31041C0700XClinical Social Worker77CO

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 : 1932614401
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKER PERSONAL CARE HOMES, INC.
Provider Business Mailing Address
First Line : 1597 COLE BLVD STE 300
Second Line :
City : LAKEWOOD
State : CO
Zip : 80401-3424
Country : US
Telephone Number : 303-424-6078
Fax Number : 303-424-6194
Provider Business Practice Location Address
First Line : 357 MCCASLIN BLVD STE 200
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2932
Country : US
Telephone Number : 303-482-2941
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SCOTT PARKER
Credential :
Telephone Number : 303-424-6078
Provider Enumeration Date : 12/06/2017
Last Update Date : 12/08/2025

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