Provider Demographics
NPI:1740870815
Name:HOMEWATCH OF BOULDER COUNTY LLC
Entity type:Organization
Organization Name:HOMEWATCH OF BOULDER COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITYASSURANCEMANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-444-1133
Mailing Address - Street 1:2945 CENTER GREEN CT STE D
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2275
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:2021-01-22
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health