Provider Demographics
NPI:1952567620
Name:RGA HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:RGA HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/HOME CARE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:ASUNCION
Authorized Official - Suffix:
Authorized Official - Credentials:BS BIOLOGY, MLT
Authorized Official - Phone:720-355-1124
Mailing Address - Street 1:2851 S PARKER RD
Mailing Address - Street 2:SUITE 960
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2736
Mailing Address - Country:US
Mailing Address - Phone:303-988-1152
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD
Practice Address - Street 2:SUITE 960
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2736
Practice Address - Country:US
Practice Address - Phone:303-988-1152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20081392191251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO067479Medicare PIN