Provider Demographics
NPI:1164048914
Name:ADDO HOME HEALTH CARE,INC
Entity Type:Organization
Organization Name:ADDO HOME HEALTH CARE,INC
Other - Org Name:ADDO HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:LOTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-678-5966
Mailing Address - Street 1:2727 W 92ND AVE STE 100G
Mailing Address - Street 2:
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-5270
Mailing Address - Country:US
Mailing Address - Phone:720-678-5966
Mailing Address - Fax:303-362-6705
Practice Address - Street 1:2727 W 92ND AVE STE 100G
Practice Address - Street 2:
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-5270
Practice Address - Country:US
Practice Address - Phone:720-678-5966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health