Provider Demographics
NPI:1851918536
Name:COLORADO SPRINGS SENIOR CARE, LLC D.B.A. HOME INSTEAD
Entity Type:Organization
Organization Name:COLORADO SPRINGS SENIOR CARE, LLC D.B.A. HOME INSTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:REED
Authorized Official - Last Name:KOVALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-264-4700
Mailing Address - Street 1:1955 N UNION BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2213
Mailing Address - Country:US
Mailing Address - Phone:719-534-0908
Mailing Address - Fax:
Practice Address - Street 1:1955 N UNION BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2213
Practice Address - Country:US
Practice Address - Phone:719-534-0908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty