Provider Demographics
NPI:1982446134
Name:HECEN HEALTHCARE LLC
Entity type:Organization
Organization Name:HECEN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:UANGBAOJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-843-3012
Mailing Address - Street 1:1800 WAZEE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1577
Mailing Address - Country:US
Mailing Address - Phone:940-843-3012
Mailing Address - Fax:940-843-3012
Practice Address - Street 1:1800 WAZEE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1577
Practice Address - Country:US
Practice Address - Phone:940-843-3012
Practice Address - Fax:940-843-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty