Provider Demographics
NPI:1851057905
Name:5280 HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:5280 HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YEVGENIY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-504-0000
Mailing Address - Street 1:7400 E ORCHARD RD STE 210-S
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2528
Mailing Address - Country:US
Mailing Address - Phone:720-504-0000
Mailing Address - Fax:720-504-1111
Practice Address - Street 1:7400 E ORCHARD RD STE 210-S
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2528
Practice Address - Country:US
Practice Address - Phone:720-504-0000
Practice Address - Fax:720-504-1111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO067563OtherMEDICARE
CO9000157103Medicaid