Provider Demographics
NPI:1619251485
Name:TRUSTED ALLY HOME CARE
Entity Type:Organization
Organization Name:TRUSTED ALLY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-442-8386
Mailing Address - Street 1:8101 E PRENTICE AVE STE 775
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2934
Mailing Address - Country:US
Mailing Address - Phone:702-756-6282
Mailing Address - Fax:
Practice Address - Street 1:3773 HOWARD HUGHES PKWY STE 500S
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-6014
Practice Address - Country:US
Practice Address - Phone:702-756-6282
Practice Address - Fax:888-692-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
615985500OtherDOL ENERGY PROGRAM ( EEOICPA) ACS PROVIDER NUMBER