Provider Demographics
NPI:1790360147
Name:AUTHENTIC HOME CARE INC
Entity Type:Organization
Organization Name:AUTHENTIC HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-404-7502
Mailing Address - Street 1:1260 S PARKER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-8065
Mailing Address - Country:US
Mailing Address - Phone:720-535-6297
Mailing Address - Fax:720-535-5315
Practice Address - Street 1:1260 S PARKER RD STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-8065
Practice Address - Country:US
Practice Address - Phone:720-535-6297
Practice Address - Fax:720-535-5315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUTHENTIC HOME CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-16
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO52105857Medicaid