Provider Demographics
NPI:1477088300
Name:COLORADO CAREASSIST, INC
Entity Type:Organization
Organization Name:COLORADO CAREASSIST, INC
Other - Org Name:COLORADO CAREASSIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-428-8762
Mailing Address - Street 1:4465 NORTHPARK DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-4225
Mailing Address - Country:US
Mailing Address - Phone:719-428-3999
Mailing Address - Fax:719-623-0282
Practice Address - Street 1:4465 NORTHPARK DR
Practice Address - Street 2:SUITE 209
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4225
Practice Address - Country:US
Practice Address - Phone:719-428-3999
Practice Address - Fax:719-623-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04Y296253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care