Provider Demographics
NPI:1275919029
Name:ABODE HEALTHCARE COLORADO, INC.
Entity Type:Organization
Organization Name:ABODE HEALTHCARE COLORADO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY & CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-576-0087
Mailing Address - Street 1:677 QUALITY DR STE 120
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-3305
Mailing Address - Country:US
Mailing Address - Phone:801-763-9746
Mailing Address - Fax:303-835-7002
Practice Address - Street 1:445 UNION BLVD STE 223
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1241
Practice Address - Country:US
Practice Address - Phone:720-440-9422
Practice Address - Fax:303-835-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based