Provider Demographics
NPI:1093148025
Name:HOME CARE RN INC
Entity Type:Organization
Organization Name:HOME CARE RN INC
Other - Org Name:HOME CARE RN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GESELKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-535-8652
Mailing Address - Street 1:1325 S COLORADO BLVD # B101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3303
Mailing Address - Country:US
Mailing Address - Phone:720-535-8652
Mailing Address - Fax:720-535-9574
Practice Address - Street 1:1325 S COLORADO BLVD # B101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3303
Practice Address - Country:US
Practice Address - Phone:720-535-8652
Practice Address - Fax:720-535-9574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04L189251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO180830OtherCITY OF AURORA