Provider Demographics
NPI:1528809233
Name:CENTENNIAL HOME HEALTH CARE INC
Entity type:Organization
Organization Name:CENTENNIAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-333-0100
Mailing Address - Street 1:6440 E COLFAX AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1604
Mailing Address - Country:US
Mailing Address - Phone:303-503-6903
Mailing Address - Fax:
Practice Address - Street 1:6440 E COLFAX AVE STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1604
Practice Address - Country:US
Practice Address - Phone:303-503-6903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health