Provider Demographics
NPI:1407393499
Name:PEOPLECARE OF SOUTHERN COLORADO
Entity Type:Organization
Organization Name:PEOPLECARE OF SOUTHERN COLORADO
Other - Org Name:PEOPLECARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEVALIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-863-1477
Mailing Address - Street 1:12015 E 46TH AVE STE 650
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-3158
Mailing Address - Country:US
Mailing Address - Phone:720-863-1477
Mailing Address - Fax:720-780-1390
Practice Address - Street 1:201 W 8TH ST STE 810
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3037
Practice Address - Country:US
Practice Address - Phone:719-275-2575
Practice Address - Fax:719-467-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04X759251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health