Provider Demographics
NPI:1740835180
Name:UNIQUE HEARTS OF GREATER COLORADO
Entity type:Organization
Organization Name:UNIQUE HEARTS OF GREATER COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:NKOYO
Authorized Official - Middle Name:
Authorized Official - Last Name:NTUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-815-5035
Mailing Address - Street 1:12215 ANGELINA DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7090
Mailing Address - Country:US
Mailing Address - Phone:267-815-5035
Mailing Address - Fax:
Practice Address - Street 1:12215 ANGELINA DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-7090
Practice Address - Country:US
Practice Address - Phone:267-815-5035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care