Provider Demographics
NPI:1083127575
Name:COBALT TECHNICAL SOLUTIONS INCORPORATED DBA COBALT HOMECARE
Entity Type:Organization
Organization Name:COBALT TECHNICAL SOLUTIONS INCORPORATED DBA COBALT HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PADMAJA
Authorized Official - Middle Name:DATTATRAYA
Authorized Official - Last Name:DARWHEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:720-699-0600
Mailing Address - Street 1:8200 S QUEBEC ST STE A-3300
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4411
Mailing Address - Country:US
Mailing Address - Phone:720-699-0600
Mailing Address - Fax:
Practice Address - Street 1:9200 E MINERAL AVE STE 175
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3412
Practice Address - Country:US
Practice Address - Phone:720-699-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04P165251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04P165OtherDEPT OF PUBLIC HEALTH AND ENVIRONMENT COLORADO STATE