Provider Demographics
NPI:1366032732
Name:ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO, LLC.
Entity Type:Organization
Organization Name:ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-532-1400
Mailing Address - Street 1:2851 S PARKER RD STE 1136
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2732
Mailing Address - Country:US
Mailing Address - Phone:720-465-5754
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 1136
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2732
Practice Address - Country:US
Practice Address - Phone:720-465-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care