Provider Demographics
NPI:1669209409
Name:NORD HOME CARE LLC
Entity type:Organization
Organization Name:NORD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKHAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-587-5204
Mailing Address - Street 1:6671 S ADDISON WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-4462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6671 S ADDISON WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-4462
Practice Address - Country:US
Practice Address - Phone:720-587-5204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health