Provider Demographics
NPI:1083345912
Name:EOL HOME QUALITY CARE LLC
Entity Type:Organization
Organization Name:EOL HOME QUALITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:720-651-3016
Mailing Address - Street 1:3128 EAGLE BLVD APT A302
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3725
Mailing Address - Country:US
Mailing Address - Phone:720-651-3016
Mailing Address - Fax:
Practice Address - Street 1:3128 EAGLE BLVD APT A302
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3725
Practice Address - Country:US
Practice Address - Phone:720-651-3016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health