Provider Demographics
NPI:1932073681
Name:ALPENGLOW HOMECARE LLC
Entity type:Organization
Organization Name:ALPENGLOW HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEXI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOLOFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-785-4795
Mailing Address - Street 1:750 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3536
Mailing Address - Country:US
Mailing Address - Phone:720-812-9555
Mailing Address - Fax:
Practice Address - Street 1:750 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3536
Practice Address - Country:US
Practice Address - Phone:720-812-9555
Practice Address - Fax:720-784-0229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPENGLOW HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care