Provider Demographics
NPI:1720798945
Name:STEPHENS HOME CARE, L.L.C.
Entity Type:Organization
Organization Name:STEPHENS HOME CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:720-560-0330
Mailing Address - Street 1:3820 EATON PARK ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-3813
Mailing Address - Country:US
Mailing Address - Phone:720-560-0330
Mailing Address - Fax:
Practice Address - Street 1:3820 EATON PARK ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-3813
Practice Address - Country:US
Practice Address - Phone:720-560-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care