Provider Demographics
NPI:1588390736
Name:SHEEPDOGS CARE INC
Entity type:Organization
Organization Name:SHEEPDOGS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLEETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-482-7751
Mailing Address - Street 1:2 W DRY CREEK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4479
Mailing Address - Country:US
Mailing Address - Phone:303-734-7142
Mailing Address - Fax:
Practice Address - Street 1:7324 N UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-1230
Practice Address - Country:US
Practice Address - Phone:309-222-8656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3002325OtherILLINOIS DEPARTMENT OF PUBLIC HEALTH HOME SERVICES LICENSE