Provider Demographics
NPI:1558001693
Name:ONE STOP HOME CARE LLC
Entity Type:Organization
Organization Name:ONE STOP HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YEONG
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-301-7668
Mailing Address - Street 1:11275 E MISSISSIPPI AVE STE 1N3
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2819
Mailing Address - Country:US
Mailing Address - Phone:720-536-5573
Mailing Address - Fax:303-750-0302
Practice Address - Street 1:11275 E MISSISSIPPI AVE STE 1N3
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2819
Practice Address - Country:US
Practice Address - Phone:720-536-5573
Practice Address - Fax:303-750-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies