Provider Demographics
NPI:1902362213
Name:LIFE CONVERSIONS HOME HEALTH
Entity Type:Organization
Organization Name:LIFE CONVERSIONS HOME HEALTH
Other - Org Name:LIFE CONVERSIONS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNLISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-352-1867
Mailing Address - Street 1:10660 E BETHANY DR UNIT 18
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2602
Mailing Address - Country:US
Mailing Address - Phone:720-361-5245
Mailing Address - Fax:303-352-1931
Practice Address - Street 1:2851 S PARKER RD STE 118
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2729
Practice Address - Country:US
Practice Address - Phone:303-352-1930
Practice Address - Fax:303-352-1931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health