Provider Demographics
NPI:1609863984
Name:SCL FRONT RANGE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:SCL FRONT RANGE HOME HEALTH, LLC
Other - Org Name:INTERMOUNTAIN HEALTH HOMECARE - DENVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-309-6470
Mailing Address - Street 1:8300 W 38TH AVE # NWB171
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6099
Mailing Address - Country:US
Mailing Address - Phone:303-388-7000
Mailing Address - Fax:
Practice Address - Street 1:8300 W 38TH AVE # NWB171
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6099
Practice Address - Country:US
Practice Address - Phone:303-388-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCL HOME HEALTH SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-03
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0404PS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO067201Medicare Oscar/Certification
CO067201Medicare Oscar/Certification