Provider Demographics
NPI:1881041481
Name:HOME CARE OF DENVER, LLC
Entity Type:Organization
Organization Name:HOME CARE OF DENVER, LLC
Other - Org Name:KLARUS PERSONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-349-9050
Mailing Address - Street 1:945 W KENYON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-8134
Mailing Address - Country:US
Mailing Address - Phone:303-761-1314
Mailing Address - Fax:303-762-9797
Practice Address - Street 1:945 W KENYON AVE STE 200
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-8134
Practice Address - Country:US
Practice Address - Phone:303-761-1314
Practice Address - Fax:303-762-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04F743253Z00000X
CO1004Q9253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04F743OtherCODPHE IHSS LICENSE NUMBER
CO1004Q9OtherCODPHE LICENSE NUMBER
CO95552855Medicaid