Provider Demographics
NPI:1063028579
Name:GOOD HEALTH COLORADO
Entity Type:Organization
Organization Name:GOOD HEALTH COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSC, MGMT, PMP
Authorized Official - Phone:720-601-7266
Mailing Address - Street 1:25990 E DAVIES DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6600
Mailing Address - Country:US
Mailing Address - Phone:720-601-7266
Mailing Address - Fax:303-680-6557
Practice Address - Street 1:25990 E DAVIES DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6600
Practice Address - Country:US
Practice Address - Phone:720-601-7266
Practice Address - Fax:303-680-6557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health