Provider Demographics
NPI:1760169221
Name:ABODE HEALTHCARE COLORADO, INC.
Entity Type:Organization
Organization Name:ABODE HEALTHCARE COLORADO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-810-1079
Mailing Address - Street 1:200 E 7TH ST STE 200B
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4864
Mailing Address - Country:US
Mailing Address - Phone:970-893-9232
Mailing Address - Fax:970-893-9242
Practice Address - Street 1:200 E 7TH ST STE 200B
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4864
Practice Address - Country:US
Practice Address - Phone:970-893-9232
Practice Address - Fax:970-893-9242
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABODE HEALTHCARE COLORADO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based