Provider Demographics
NPI:1033752233
Name:GREAT CARE COMPANY
Entity Type:Organization
Organization Name:GREAT CARE COMPANY
Other - Org Name:HOME CARE ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-628-5754
Mailing Address - Street 1:12792 W ALAMEDA PKWY STE F
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2846
Mailing Address - Country:US
Mailing Address - Phone:720-628-5754
Mailing Address - Fax:303-987-1102
Practice Address - Street 1:12792 W ALAMEDA PKWY STE F
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2846
Practice Address - Country:US
Practice Address - Phone:720-628-5754
Practice Address - Fax:303-987-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care