Provider Demographics
NPI:1780203307
Name:DR. AMERICO GROUP LLC
Entity Type:Organization
Organization Name:DR. AMERICO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:THANH
Authorized Official - Middle Name:CONG
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:720-357-8556
Mailing Address - Street 1:1427 S FEDERAL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-4720
Mailing Address - Country:US
Mailing Address - Phone:720-357-8556
Mailing Address - Fax:
Practice Address - Street 1:1427 S FEDERAL BLVD STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-4720
Practice Address - Country:US
Practice Address - Phone:720-357-8556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies