HEALTHONE HEART CARE LLC

Provider Demographics

• NPI: 1982948089
• Name: HEALTHONE HEART CARE LLC
• Entity Type: Organization
• Organization Name: HEALTHONE HEART CARE LLC
• Authorized Official - Title/Position: VP
• Authorized Official - First Name: JOHN
• Authorized Official - Last Name: REBOK
• Authorized Official - Phone: 615-372-5004
• Mailing Address - Street 1: 2000 HEALTH PARK DR
• Mailing Address - City: BRENTWOOD
• Mailing Address - State: TN
• Mailing Address - Zip Code: 37027-4692
• Mailing Address - Country: US
• Mailing Address - Phone: 615-372-5426
• Practice Address - Street 1: 1444 S POTOMAC ST STE 300
• Practice Address - City: AURORA
• Practice Address - State: CO
• Practice Address - Zip Code: 80012-4510
• Practice Address - Country: US
• Practice Address - Phone: 303-750-0822
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2012-11-15
• Last Update Date: 2023-01-02

Provider Licenses

State	License ID	Taxonomies
		207RC0000X
CO		261Q00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WY	10026280600	Medicaid
WY	10026281200	Medicaid
CO	57806772	Medicaid
WY	100236283100	Medicaid
WY	1982948089	Medicaid
CO	26687551	Medicaid
WY	10026281000	Medicaid
NE	10026282500	Medicaid
KS	201069590A	Medicaid
CO	40537871	Medicaid
CO	67650589	Medicaid
CO	13100289	Medicaid
CO	70787077	Medicaid
CO	00159271	Medicaid
WY	10026280700	Medicaid
WY	10026280800	Medicaid
CO	19778759	Medicaid
NE	1982948089	Medicaid
CO	30980763	Medicaid
CO	62406272	Medicaid
WY	10026282300	Medicaid
WY	10026282600	Medicaid
CO	49878379	Medicaid
CO	06709877	Medicaid
WY	10026283000	Medicaid
CO	28788877	Medicaid
KS	201069590A	Medicaid
NE	10026282500	Medicaid
WY	10026282300	Medicaid
CO	28788877	Medicaid