Provider Demographics
NPI:1609530146
Name:INCENTAHEALTH, LLC
Entity Type:Organization
Organization Name:INCENTAHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEPPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-694-8012
Mailing Address - Street 1:4600 S ULSTER ST STE 850
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2986
Mailing Address - Country:US
Mailing Address - Phone:303-694-8008
Mailing Address - Fax:
Practice Address - Street 1:4600 S ULSTER ST STE 850
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2986
Practice Address - Country:US
Practice Address - Phone:303-694-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty