# ANTONINA HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194116632
- **Authorized official:** YULIA SUSINA (ADMINISTRATOR)
- **Authorized official phone:** (720) 500-2075

## Contact information

- **Practice address:** 6970 S HOLLY CIR STE 200, CENTENNIAL, CO 80112-1066
- **Practice address phone:** (720) 276-1705
- **Mailing address:** 6970 S HOLLY CIR STE 200, CENTENNIAL, CO 80112-1066
- **Mailing address phone:** (720) 276-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 04K566 | CO | Yes |
| 253Z00000X | In Home Supportive Care Agency | 04D715 | CO | — |

## Other

- **Enumeration date:** 02/05/2015
- **Last updated:** 08/28/2023