Provider Demographics
NPI:1093543027
Name:COMPLEX HOME CARE SOLUTION, LTD
Entity type:Organization
Organization Name:COMPLEX HOME CARE SOLUTION, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AZIZI
Authorized Official - Middle Name:
Authorized Official - Last Name:IKROMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-953-2309
Mailing Address - Street 1:7200 E HAMPDEN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7200 E HAMPDEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3021
Practice Address - Country:US
Practice Address - Phone:720-609-8335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care