Provider Demographics
NPI:1407217839
Name:PERKINS, MARTI LEIGH (CNA)
Entity Type:Individual
Prefix:MRS
First Name:MARTI
Middle Name:LEIGH
Last Name:PERKINS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2458 NORTHVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3314
Mailing Address - Country:US
Mailing Address - Phone:720-877-1922
Mailing Address - Fax:
Practice Address - Street 1:2458 NORTHVIEW PL
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3314
Practice Address - Country:US
Practice Address - Phone:720-877-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-12
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care