Provider Demographics
NPI:1003106659
Name:GAP HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:GAP HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-621-5166
Mailing Address - Street 1:12843 E NEVADA CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2468
Mailing Address - Country:US
Mailing Address - Phone:720-216-1226
Mailing Address - Fax:720-949-1698
Practice Address - Street 1:12843 E NEVADA CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2468
Practice Address - Country:US
Practice Address - Phone:720-216-1226
Practice Address - Fax:720-949-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-17
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COZ00730251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health