Provider Demographics
NPI:1417524257
Name:HOMECARE CAREGIVERS 1994, LLC
Entity Type:Organization
Organization Name:HOMECARE CAREGIVERS 1994, LLC
Other - Org Name:HOMEWATCH CAREGIVERS OF NORTHERN COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-524-4192
Mailing Address - Street 1:1220 W ASH ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1220 W ASH ST UNIT C
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-4611
Practice Address - Country:US
Practice Address - Phone:970-674-9723
Practice Address - Fax:970-674-9724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health