Provider Demographics
NPI:1154148195
Name:CONNECT HOME HEALTH COLORADO, LLC
Entity type:Organization
Organization Name:CONNECT HOME HEALTH COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EZRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-247-8437
Mailing Address - Street 1:7001 BOULEVARD 26 STE 501
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8858
Mailing Address - Country:US
Mailing Address - Phone:817-247-8437
Mailing Address - Fax:866-702-7217
Practice Address - Street 1:7001 BOULEVARD 26 STE 501
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8858
Practice Address - Country:US
Practice Address - Phone:817-247-8437
Practice Address - Fax:866-702-7217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child