Provider Demographics
NPI:1972117554
Name:EL BETHEL HOUSE OF CARE AGENCY LLC
Entity Type:Organization
Organization Name:EL BETHEL HOUSE OF CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PASCALE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-907-4978
Mailing Address - Street 1:25950 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1635
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25950 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-1635
Practice Address - Country:US
Practice Address - Phone:303-907-4978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care