Provider Demographics
NPI:1740651322
Name:A PLUS PERSONAL CARE PROVIDER LLC
Entity type:Organization
Organization Name:A PLUS PERSONAL CARE PROVIDER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-318-9393
Mailing Address - Street 1:6825 E TENNESSEE AVE STE 421
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1632
Mailing Address - Country:US
Mailing Address - Phone:303-399-3497
Mailing Address - Fax:303-399-3479
Practice Address - Street 1:6825 E TENNESSEE AVE STE 421
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1632
Practice Address - Country:US
Practice Address - Phone:303-399-3497
Practice Address - Fax:303-399-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X, 385H00000X
CO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty