Provider Demographics
NPI:1326658311
Name:24 CARET HOME CARE AGENCY
Entity Type:Organization
Organization Name:24 CARET HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLIE
Authorized Official - Middle Name:AMBER
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-377-0370
Mailing Address - Street 1:3222 IVY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2108
Mailing Address - Country:US
Mailing Address - Phone:303-377-0370
Mailing Address - Fax:
Practice Address - Street 1:2323 S TROY ST STE 4-180
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1900
Practice Address - Country:US
Practice Address - Phone:303-601-7989
Practice Address - Fax:303-393-1291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health