Provider Demographics
NPI:1306831490
Name:ARTEMIS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ARTEMIS HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:720-482-1988
Mailing Address - Street 1:6041 S SYRACUSE WAY STE 220
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4716
Mailing Address - Country:US
Mailing Address - Phone:720-482-1988
Mailing Address - Fax:
Practice Address - Street 1:6041 S SYRACUSE WAY STE 220
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4716
Practice Address - Country:US
Practice Address - Phone:720-482-1988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000150358Medicaid
CO63006740Medicaid