Provider Demographics
NPI:1396891198
Name:PHYSICIANS HOME HEALTH CARE LTD
Entity type:Organization
Organization Name:PHYSICIANS HOME HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-522-0422
Mailing Address - Street 1:3650 REBECCA LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5005
Mailing Address - Country:US
Mailing Address - Phone:719-522-0422
Mailing Address - Fax:719-592-1839
Practice Address - Street 1:3650 REBECCA LN
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5005
Practice Address - Country:US
Practice Address - Phone:719-522-0422
Practice Address - Fax:719-592-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO067129Medicare ID - Type Unspecified