Provider Demographics
NPI:1831273663
Name:ALL STATE, INC.
Entity type:Organization
Organization Name:ALL STATE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHILING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-761-1314
Mailing Address - Street 1:3157 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2423
Mailing Address - Country:US
Mailing Address - Phone:303-761-1314
Mailing Address - Fax:303-762-9797
Practice Address - Street 1:3157 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2423
Practice Address - Country:US
Practice Address - Phone:303-761-1314
Practice Address - Fax:303-762-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51639211251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO51639211Medicaid