Provider Demographics
NPI:1700142353
Name:247 HOME HEALTH CARE LTD
Entity Type:Organization
Organization Name:247 HOME HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKHMETOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-247-1111
Mailing Address - Street 1:8055 E TUFTS AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2835
Mailing Address - Country:US
Mailing Address - Phone:303-247-1111
Mailing Address - Fax:303-247-9999
Practice Address - Street 1:8055 E TUFTS AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2835
Practice Address - Country:US
Practice Address - Phone:303-247-1111
Practice Address - Fax:303-247-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04Q176251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO41437241Medicaid
CO067504Medicare Oscar/Certification