Provider Demographics
NPI:1790199669
Name:REJUV HOME CARE
Entity Type:Organization
Organization Name:REJUV HOME CARE
Other - Org Name:PARKER HORIZON LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT3033376030
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-337-6030
Mailing Address - Street 1:10433 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9038
Mailing Address - Country:US
Mailing Address - Phone:303-337-6030
Mailing Address - Fax:303-993-5940
Practice Address - Street 1:10433 S PARKER RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9038
Practice Address - Country:US
Practice Address - Phone:303-337-6030
Practice Address - Fax:303-993-5940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04J976251E00000X
CO04Y306251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health