Provider Demographics
NPI:1497806632
Name:WESTCARE INC
Entity Type:Organization
Organization Name:WESTCARE INC
Other - Org Name:PARAGON INFUSION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-588-1000
Mailing Address - Street 1:8811 AMERICAN WAY STE 150
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-7154
Mailing Address - Country:US
Mailing Address - Phone:303-770-5065
Mailing Address - Fax:972-588-1001
Practice Address - Street 1:8811 AMERICAN WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-7151
Practice Address - Country:US
Practice Address - Phone:303-770-5065
Practice Address - Fax:303-770-8652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO037000030251F00000X
332B00000X, 332BP3500X, 3336S0011X
CO3700000303336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03002664Medicaid
CO26833OtherDEPARTMENT OF REGULATORY AGENCIES