Provider Demographics
NPI:1285411413
Name:ORCHARD HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:ORCHARD HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:YEMESRACH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKONNEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:720-937-3876
Mailing Address - Street 1:6343 S JACKSON GAP CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2465
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6343 S JACKSON GAP CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2465
Practice Address - Country:US
Practice Address - Phone:720-937-3876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty