Provider Demographics
NPI:1346792017
Name:PARKER PERSONAL CARE HOMES, INC.
Entity Type:Organization
Organization Name:PARKER PERSONAL CARE HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-424-6078
Mailing Address - Street 1:1597 COLE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3414
Mailing Address - Country:US
Mailing Address - Phone:303-424-6078
Mailing Address - Fax:303-424-6194
Practice Address - Street 1:8566 FIVE PARKS DR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-5817
Practice Address - Country:US
Practice Address - Phone:303-424-6078
Practice Address - Fax:303-424-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO97633241Medicaid