Provider Demographics
NPI:1760093470
Name:247 HOME HEALTH CARE LTD
Entity Type:Organization
Organization Name:247 HOME HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHMETOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-628-0308
Mailing Address - Street 1:8055 E TUFTS AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2857
Mailing Address - Country:US
Mailing Address - Phone:303-247-1111
Mailing Address - Fax:
Practice Address - Street 1:8055 E TUFTS AVE STE 250
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2857
Practice Address - Country:US
Practice Address - Phone:303-247-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO41437241Medicaid