Provider Demographics
NPI:1427391473
Name:WESTERN SLOPE HOME CARE,INC
Entity Type:Organization
Organization Name:WESTERN SLOPE HOME CARE,INC
Other - Org Name:DBA; VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDSON
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-328-5526
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:120 EAST THIRD ST
Mailing Address - City:EAGLE
Mailing Address - State:CO
Mailing Address - Zip Code:81631-1020
Mailing Address - Country:US
Mailing Address - Phone:970-328-5526
Mailing Address - Fax:
Practice Address - Street 1:120 EAST THIRD ST.
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631
Practice Address - Country:US
Practice Address - Phone:970-328-5526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04T306253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care