Provider Demographics
NPI:1215520895
Name:COLORADO FAMILY CAREGIVERS HOME HEALTH LLC
Entity type:Organization
Organization Name:COLORADO FAMILY CAREGIVERS HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:MARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-456-8087
Mailing Address - Street 1:10475 ELIZABETH WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-1579
Mailing Address - Country:US
Mailing Address - Phone:303-898-9724
Mailing Address - Fax:
Practice Address - Street 1:10475 ELIZABETH WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-1579
Practice Address - Country:US
Practice Address - Phone:303-898-9724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health