Provider Demographics
NPI:1982455812
Name:GREAT WORLD HEALTH LLC
Entity Type:Organization
Organization Name:GREAT WORLD HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-585-8465
Mailing Address - Street 1:2747 KANSAS DR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4858
Mailing Address - Country:US
Mailing Address - Phone:850-585-8465
Mailing Address - Fax:
Practice Address - Street 1:2747 KANSAS DR UNIT 103
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4858
Practice Address - Country:US
Practice Address - Phone:850-585-8465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAHA LOKA HOLDING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-28
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care