Provider Demographics
NPI:1114692670
Name:ROCKY MOUNTAIN HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-635-3366
Mailing Address - Street 1:1819 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-6142
Mailing Address - Country:US
Mailing Address - Phone:970-776-6194
Mailing Address - Fax:720-492-1140
Practice Address - Street 1:1819 BIRCH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-6142
Practice Address - Country:US
Practice Address - Phone:970-776-6194
Practice Address - Fax:720-492-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health