Provider Demographics
NPI:1962288860
Name:RODOLPH COMPANY LLC
Entity type:Organization
Organization Name:RODOLPH COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-953-9924
Mailing Address - Street 1:19751 E MAINSTREET STE 253
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7405
Mailing Address - Country:US
Mailing Address - Phone:303-953-9924
Mailing Address - Fax:303-990-5049
Practice Address - Street 1:19751 E MAINSTREET STE 253
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7405
Practice Address - Country:US
Practice Address - Phone:303-953-9924
Practice Address - Fax:303-990-5049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care