Provider Demographics
NPI:1508374737
Name:SYNERGY HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:SYNERGY HOME HEALTHCARE AGENCY
Other - Org Name:SYNERGY HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CITIZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-861-3743
Mailing Address - Street 1:1642 S PARKER RD STE 211
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2916
Mailing Address - Country:US
Mailing Address - Phone:303-861-3743
Mailing Address - Fax:303-861-3955
Practice Address - Street 1:1642 S PARKER RD STE 211
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2916
Practice Address - Country:US
Practice Address - Phone:303-861-3743
Practice Address - Fax:303-861-3955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health