Provider Demographics
NPI:1497391940
Name:101 HOME CARE LLC
Entity Type:Organization
Organization Name:101 HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-336-0106
Mailing Address - Street 1:4791 S HIMALAYA CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6609
Mailing Address - Country:US
Mailing Address - Phone:720-336-0106
Mailing Address - Fax:720-306-5336
Practice Address - Street 1:4791 S HIMALAYA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6609
Practice Address - Country:US
Practice Address - Phone:720-336-0106
Practice Address - Fax:720-306-5336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care