Provider Demographics
NPI:1114092681
Name:PLATTEW VALLEY HOME HEALTH CARE
Entity Type:Organization
Organization Name:PLATTEW VALLEY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREIDENY CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:ADM LPN
Authorized Official - Phone:303-655-1957
Mailing Address - Street 1:399 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2036
Mailing Address - Country:US
Mailing Address - Phone:303-655-1957
Mailing Address - Fax:303-659-9054
Practice Address - Street 1:399 BUSH ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2036
Practice Address - Country:US
Practice Address - Phone:303-655-1957
Practice Address - Fax:303-659-9054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39009164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty