Provider Demographics
NPI:1912180688
Name:MADGE AND LENORE COLORADO CARING COMPANIONS
Entity Type:Organization
Organization Name:MADGE AND LENORE COLORADO CARING COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:BLICKHAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-842-4968
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:619 CAMERON STREET
Mailing Address - City:BRUSH
Mailing Address - State:CO
Mailing Address - Zip Code:80723-0725
Mailing Address - Country:US
Mailing Address - Phone:970-842-4968
Mailing Address - Fax:970-842-4968
Practice Address - Street 1:619 CAMERON ST
Practice Address - Street 2:
Practice Address - City:BRUSH
Practice Address - State:CO
Practice Address - Zip Code:80723-2021
Practice Address - Country:US
Practice Address - Phone:970-842-4968
Practice Address - Fax:970-842-4968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty