Provider Demographics
NPI:1023054038
Name:AMBER CARE GROUP, INC.
Entity type:Organization
Organization Name:AMBER CARE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGZDYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-363-3877
Mailing Address - Street 1:6535 S DAYTON ST STE 3000
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6125
Mailing Address - Country:US
Mailing Address - Phone:303-799-1281
Mailing Address - Fax:720-294-0945
Practice Address - Street 1:6535 S DAYTON ST STE 3000
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-6125
Practice Address - Country:US
Practice Address - Phone:303-799-1281
Practice Address - Fax:720-294-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04631218Medicaid