Provider Demographics
NPI:1003514084
Name:ESCALA COMPANION CARE, LLC
Entity Type:Organization
Organization Name:ESCALA COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:GUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-285-1196
Mailing Address - Street 1:12835 E ARAPAHOE RD STE 2-300
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6780
Mailing Address - Country:US
Mailing Address - Phone:303-285-1196
Mailing Address - Fax:303-285-1477
Practice Address - Street 1:12835 E ARAPAHOE RD STE 2-300
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6780
Practice Address - Country:US
Practice Address - Phone:303-285-1196
Practice Address - Fax:303-285-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04QB9QOtherHOME CARE AGENCY (CLASS B - NON MEDICAL) LICENSE, (PERSONAL CARE/HOMEMAKER)