Provider Demographics
NPI:1578704276
Name:COLORADO CARE REHAB
Entity Type:Organization
Organization Name:COLORADO CARE REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-263-2134
Mailing Address - Street 1:9532 W ATHENS LN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5932
Mailing Address - Country:US
Mailing Address - Phone:303-263-2134
Mailing Address - Fax:720-214-2101
Practice Address - Street 1:9532 W ATHENS LN
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5932
Practice Address - Country:US
Practice Address - Phone:303-263-2134
Practice Address - Fax:720-214-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONOT RECEIVED YET332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies