Provider Demographics
NPI:1255308664
Name:COLORADO COMPREHENSIVE CARE, INC.
Entity Type:Organization
Organization Name:COLORADO COMPREHENSIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALETHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-986-3015
Mailing Address - Street 1:7895 MORRISON RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3003
Mailing Address - Country:US
Mailing Address - Phone:303-986-3015
Mailing Address - Fax:303-986-3403
Practice Address - Street 1:7895 MORRISON RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-3003
Practice Address - Country:US
Practice Address - Phone:303-986-3015
Practice Address - Fax:303-986-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05017298Medicaid
CO05017298Medicaid