Provider Demographics
NPI:1992040786
Name:HOMEFRONT HEALTH AND OCCUPATIONAL MEDICINE LLC
Entity Type:Organization
Organization Name:HOMEFRONT HEALTH AND OCCUPATIONAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CATON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-308-5115
Mailing Address - Street 1:5321 WEST 1ST ST.
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634
Mailing Address - Country:US
Mailing Address - Phone:970-515-6580
Mailing Address - Fax:970-515-6581
Practice Address - Street 1:1705 32ND ST.
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620
Practice Address - Country:US
Practice Address - Phone:970-515-6580
Practice Address - Fax:970-515-6581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO404412083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty