Provider Demographics
NPI:1508307612
Name:MILE HIGH HOMECARE LLC
Entity Type:Organization
Organization Name:MILE HIGH HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEUHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-429-5805
Mailing Address - Street 1:7475 DAKIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-6967
Mailing Address - Country:US
Mailing Address - Phone:720-429-5805
Mailing Address - Fax:
Practice Address - Street 1:7475 DAKIN ST STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-6967
Practice Address - Country:US
Practice Address - Phone:720-429-5805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04K101253Z00000X
COHCBS-04T617253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care