Provider Demographics
NPI:1336983980
Name:B.A.D. COLORADO LLC
Entity type:Organization
Organization Name:B.A.D. COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMMON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-798-3900
Mailing Address - Street 1:8085 S CHESTER STREET STE 250 OFFICE 232
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:720-798-3900
Mailing Address - Fax:
Practice Address - Street 1:8085 S CHESTER STREET STE 250 OFFICE 232
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:720-798-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based