Provider Demographics
NPI:1922548940
Name:HIH COLORADO LLC
Entity Type:Organization
Organization Name:HIH COLORADO LLC
Other - Org Name:HOPE IN HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-554-1111
Mailing Address - Street 1:1555 BLAKE ST
Mailing Address - Street 2:UNIT 501
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1555 BLAKE ST
Practice Address - Street 2:UNIT 501
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1625
Practice Address - Country:US
Practice Address - Phone:303-554-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty