Provider Demographics
NPI:1518719228
Name:MGA HOME HEALTHCARE COLORADO, LLC
Entity Type:Organization
Organization Name:MGA HOME HEALTHCARE COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRITCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-476-0200
Mailing Address - Street 1:4100 E MISSISSIPPI AVE STE 1250
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4850 HAHNS PEAK DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-6010
Practice Address - Country:US
Practice Address - Phone:970-233-0051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health