Provider Demographics
NPI:1093288938
Name:ANTON HOME HEALTH CARE
Entity Type:Organization
Organization Name:ANTON HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-815-2872
Mailing Address - Street 1:1318 S BRENTWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5333
Mailing Address - Country:US
Mailing Address - Phone:303-815-2872
Mailing Address - Fax:
Practice Address - Street 1:7510 W MISSISSIPPI AVE STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4570
Practice Address - Country:US
Practice Address - Phone:303-907-4675
Practice Address - Fax:303-935-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care