Provider Demographics
NPI:1699123224
Name:PRADIA HOME HEALTH CARE SOLUTIONS
Entity type:Organization
Organization Name:PRADIA HOME HEALTH CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:PRADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-590-4802
Mailing Address - Street 1:720 S COLORADO BLVD
Mailing Address - Street 2:PENTHOUSE NORTH
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1904
Mailing Address - Country:US
Mailing Address - Phone:720-590-4802
Mailing Address - Fax:
Practice Address - Street 1:720 S COLORADO BLVD
Practice Address - Street 2:PENTHOUSE NORTH
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1904
Practice Address - Country:US
Practice Address - Phone:720-590-4802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health