Provider Demographics
NPI:1336435353
Name:HOME HEALTH CARE OF COLORADO, INC.
Entity Type:Organization
Organization Name:HOME HEALTH CARE OF COLORADO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-237-0237
Mailing Address - Street 1:2915 UPHAM ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-8067
Mailing Address - Country:US
Mailing Address - Phone:303-237-0237
Mailing Address - Fax:303-237-3237
Practice Address - Street 1:2915 UPHAM ST
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-8067
Practice Address - Country:US
Practice Address - Phone:303-237-0237
Practice Address - Fax:303-237-3237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04J555251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health