Provider Demographics
NPI:1770628737
Name:A WORLD OF EXCELLENT HOME CARE, INC.
Entity Type:Organization
Organization Name:A WORLD OF EXCELLENT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHATTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-369-2428
Mailing Address - Street 1:1450 S HAVANA ST
Mailing Address - Street 2:SUITE NUMBER 236
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4001
Mailing Address - Country:US
Mailing Address - Phone:303-369-2428
Mailing Address - Fax:303-368-8459
Practice Address - Street 1:1450 S HAVANA ST STE 236
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4001
Practice Address - Country:US
Practice Address - Phone:303-369-2428
Practice Address - Fax:303-368-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO76039820251E00000X
3747P1801X, 376J00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO76039820Medicaid