Provider Demographics
NPI:1447611512
Name:ABODE HEALTHCARE COLORADO, INC.
Entity Type:Organization
Organization Name:ABODE HEALTHCARE COLORADO, INC.
Other - Org Name:ABODE HOSPICE OF COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-810-1079
Mailing Address - Street 1:744 HORIZON CT STE 110
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-3915
Mailing Address - Country:US
Mailing Address - Phone:970-658-8705
Mailing Address - Fax:970-658-8706
Practice Address - Street 1:744 HORIZON CT STE 110
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-3915
Practice Address - Country:US
Practice Address - Phone:970-658-8705
Practice Address - Fax:970-658-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based