Provider Demographics
NPI:1114422912
Name:TRUST 1 HOME CARE SERVICES AGENCY LLC
Entity Type:Organization
Organization Name:TRUST 1 HOME CARE SERVICES AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AAZA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-278-9827
Mailing Address - Street 1:10691 E BETHANY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2623
Mailing Address - Country:US
Mailing Address - Phone:303-353-9260
Mailing Address - Fax:
Practice Address - Street 1:10691 E BETHANY DR STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2623
Practice Address - Country:US
Practice Address - Phone:303-353-9260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========Medicaid