Provider Demographics
NPI:1326409624
Name:CS SENIOR HOME CARE LLC
Entity Type:Organization
Organization Name:CS SENIOR HOME CARE LLC
Other - Org Name:VISITING ANGELS CS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-282-0180
Mailing Address - Street 1:3720 SINTON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-5061
Mailing Address - Country:US
Mailing Address - Phone:719-282-0180
Mailing Address - Fax:719-596-4466
Practice Address - Street 1:3720 SINTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5061
Practice Address - Country:US
Practice Address - Phone:719-282-0180
Practice Address - Fax:719-596-4466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04E319253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care