Provider Demographics
NPI:1336428630
Name:GOLDLEAF CAREGIVERS INC.
Entity type:Organization
Organization Name:GOLDLEAF CAREGIVERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-763-9039
Mailing Address - Street 1:1780 S BELLAIRE ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4307
Mailing Address - Country:US
Mailing Address - Phone:720-763-9039
Mailing Address - Fax:720-763-9036
Practice Address - Street 1:1780 S BELLAIRE ST
Practice Address - Street 2:SUITE 701
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4307
Practice Address - Country:US
Practice Address - Phone:720-763-9039
Practice Address - Fax:720-763-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04O232253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care