Provider Demographics
NPI:1336973197
Name:ENTRUST HEALTH LLC
Entity type:Organization
Organization Name:ENTRUST HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-319-6779
Mailing Address - Street 1:4465 NORTHPARK DRIVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-4225
Mailing Address - Country:US
Mailing Address - Phone:719-501-1286
Mailing Address - Fax:
Practice Address - Street 1:4465 NORTHPARK DRIVE
Practice Address - Street 2:SUITE 460
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4225
Practice Address - Country:US
Practice Address - Phone:719-501-1286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health