Provider Demographics
NPI:1467737932
Name:BW HOME CARE
Entity Type:Organization
Organization Name:BW HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SMITTICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-500-2085
Mailing Address - Street 1:17395 E CASPIAN PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1502
Mailing Address - Country:US
Mailing Address - Phone:303-500-2085
Mailing Address - Fax:720-747-7374
Practice Address - Street 1:17395 E CASPIAN PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1502
Practice Address - Country:US
Practice Address - Phone:303-500-2085
Practice Address - Fax:720-747-7374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health