Provider Demographics
NPI:1942399233
Name:STERLING MEDCARE HOME HEALTH INC
Entity Type:Organization
Organization Name:STERLING MEDCARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-522-6807
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-0791
Mailing Address - Country:US
Mailing Address - Phone:970-522-6807
Mailing Address - Fax:970-522-2807
Practice Address - Street 1:614 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-0791
Practice Address - Country:US
Practice Address - Phone:970-522-6807
Practice Address - Fax:970-522-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05701669Medicaid
CO05701669Medicaid