Provider Demographics
NPI:1811750615
Name:ALPENGLOW HOMECARE LLC
Entity type:Organization
Organization Name:ALPENGLOW HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEXI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOLOFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-785-4795
Mailing Address - Street 1:27511 E LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2877
Mailing Address - Country:US
Mailing Address - Phone:425-443-9261
Mailing Address - Fax:
Practice Address - Street 1:6105 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5361
Practice Address - Country:US
Practice Address - Phone:425-785-4795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care