Provider Demographics
NPI:1700052909
Name:HOMECARE INC
Entity Type:Organization
Organization Name:HOMECARE INC
Other - Org Name:HOMEWATCH CAREGIVERS OF BOULDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEIDEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-444-1133
Mailing Address - Street 1:PO BOX 20886
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80308-3886
Mailing Address - Country:US
Mailing Address - Phone:303-444-1133
Mailing Address - Fax:303-444-5580
Practice Address - Street 1:2945 CENTER GREEN CT STE D
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2275
Practice Address - Country:US
Practice Address - Phone:303-444-1133
Practice Address - Fax:303-444-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health