Provider Demographics
NPI:1588438733
Name:COLOR HEALTH, INC.
Entity type:Organization
Organization Name:COLOR HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-351-5090
Mailing Address - Street 1:831 MITTEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1300
Mailing Address - Country:US
Mailing Address - Phone:650-524-5012
Mailing Address - Fax:
Practice Address - Street 1:831 MITTEN RD STE 100
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1300
Practice Address - Country:US
Practice Address - Phone:650-524-5012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty