Provider Demographics
NPI:1124825708
Name:LIFECARE HOMEAID LLC
Entity type:Organization
Organization Name:LIFECARE HOMEAID LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATHALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-337-8342
Mailing Address - Street 1:3750 BLAKE ST APT 909
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5721
Mailing Address - Country:US
Mailing Address - Phone:980-337-8341
Mailing Address - Fax:
Practice Address - Street 1:3750 BLAKE ST APT 909
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5721
Practice Address - Country:US
Practice Address - Phone:980-337-8341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care