Provider Demographics
NPI:1912084393
Name:ACCELERATED HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:ACCELERATED HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-322-0311
Mailing Address - Street 1:2801 YOUNGFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2849
Mailing Address - Country:US
Mailing Address - Phone:720-322-0311
Mailing Address - Fax:720-322-0316
Practice Address - Street 1:2801 YOUNGFIELD STREET
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2849
Practice Address - Country:US
Practice Address - Phone:720-322-0311
Practice Address - Fax:720-322-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO65155726251E00000X
CO29306728251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29306728Medicaid
CO65155726Medicaid
CO067431Medicare PIN