Provider Demographics
NPI:1639854086
Name:DEGAY ESSENTIAL HOME CARE LLC
Entity Type:Organization
Organization Name:DEGAY ESSENTIAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-716-0914
Mailing Address - Street 1:18072 E LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3105
Mailing Address - Country:US
Mailing Address - Phone:720-716-0914
Mailing Address - Fax:
Practice Address - Street 1:18072 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-3105
Practice Address - Country:US
Practice Address - Phone:720-716-0914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services