Provider Demographics
NPI:1407697444
Name:AY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NUNU
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-955-8095
Mailing Address - Street 1:3190 S VAUGHN WAY STE 550
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3538
Mailing Address - Country:US
Mailing Address - Phone:303-955-8095
Mailing Address - Fax:
Practice Address - Street 1:3190 S VAUGHN WAY STE 550
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3538
Practice Address - Country:US
Practice Address - Phone:303-955-8095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health