Provider Demographics
NPI:1033420161
Name:COLROADO COMMUNITY HOMECARE OF COLORADO LLC
Entity Type:Organization
Organization Name:COLROADO COMMUNITY HOMECARE OF COLORADO LLC
Other - Org Name:COLORADO COMMUNITY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEITLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-546-7921
Mailing Address - Street 1:3501 W 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4423
Mailing Address - Country:US
Mailing Address - Phone:303-546-7921
Mailing Address - Fax:303-238-4293
Practice Address - Street 1:3501 W 23RD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4423
Practice Address - Country:US
Practice Address - Phone:303-546-7921
Practice Address - Fax:303-238-4293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04N611251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health