Provider Demographics
NPI:1114422706
Name:NOCO HEALING HOMES LLC
Entity Type:Organization
Organization Name:NOCO HEALING HOMES LLC
Other - Org Name:COMFORCARE HOME CARE-FORT COLLINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WINING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-397-5409
Mailing Address - Street 1:609 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5265
Mailing Address - Country:US
Mailing Address - Phone:970-397-5409
Mailing Address - Fax:
Practice Address - Street 1:541 GARDEN DRIVE
Practice Address - Street 2:UNIT O, SUITE 100
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550
Practice Address - Country:US
Practice Address - Phone:970-397-5409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health