Provider Demographics
NPI:1871249888
Name:AY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AY HOME HEALTH CARE LLC
Other - Org Name:AY HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NUNU
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSHU
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MPH
Authorized Official - Phone:303-955-8096
Mailing Address - Street 1:16438 E HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4112
Mailing Address - Country:US
Mailing Address - Phone:303-955-8096
Mailing Address - Fax:303-953-9402
Practice Address - Street 1:3190 S VAUGHN WAY STE 550
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3538
Practice Address - Country:US
Practice Address - Phone:303-955-8096
Practice Address - Fax:303-953-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health