Provider Demographics
NPI:1942743166
Name:ILIV HOME CARE LLC
Entity Type:Organization
Organization Name:ILIV HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARDADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-360-0199
Mailing Address - Street 1:14261 E 4TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8704
Mailing Address - Country:US
Mailing Address - Phone:303-360-0019
Mailing Address - Fax:303-845-5396
Practice Address - Street 1:14261 E 4TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8704
Practice Address - Country:US
Practice Address - Phone:303-360-0199
Practice Address - Fax:303-845-5396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-19
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care