Provider Demographics
NPI:1306366331
Name:LASS ENTERPRISES, LLC
Entity Type:Organization
Organization Name:LASS ENTERPRISES, LLC
Other - Org Name:BRIGHTSTAR CARE OF WEST DENVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-883-7336
Mailing Address - Street 1:3333 S WADSWORTH BLVD UNIT D324
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3333 S WADSWORTH BLVD UNIT D324
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5142
Practice Address - Country:US
Practice Address - Phone:720-963-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherHOME HEALTH CARE