Provider Demographics
NPI:1194412965
Name:ATTENTIVE CARE SERVICES
Entity type:Organization
Organization Name:ATTENTIVE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINH KHANG
Authorized Official - Middle Name:THI
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:719-271-9974
Mailing Address - Street 1:1319 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-2713
Mailing Address - Country:US
Mailing Address - Phone:719-867-4030
Mailing Address - Fax:719-470-2217
Practice Address - Street 1:1319 COURT ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2713
Practice Address - Country:US
Practice Address - Phone:719-867-4030
Practice Address - Fax:719-470-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care