Provider Demographics
NPI:1922638584
Name:ALLEVIA HOME CARE, LLC
Entity Type:Organization
Organization Name:ALLEVIA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENTERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-500-4444
Mailing Address - Street 1:2993 S PEORIA ST STE 142
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5704
Mailing Address - Country:US
Mailing Address - Phone:303-500-4444
Mailing Address - Fax:
Practice Address - Street 1:2993 S PEORIA ST STE 142
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5704
Practice Address - Country:US
Practice Address - Phone:303-500-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1730727447Medicaid
CO1730727447OtherHOME CARE