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Organization
GIVEN' HOME HEALTH PC
Active
Organization
GIVEN' HOME HEALTH PC
Active
Other names
Given' Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA J SHEPHERD RN (CEO, ADMINISTRATOR)
(970) 985-4483
Entity
Organization
Contact information
Practice address
3198 F RD STE 101, GRAND JUNCTION, CO 81504-4039
(970) 985-4483
(970) 985-4067
Mailing address
3198 F RD STE 101, GRAND JUNCTION, CO 81504-4039
(970) 985-4483
(970) 985-4067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04G928
CO
253Z00000X
In Home Supportive Care Agency
04M216
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04G928
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
CO
01
—
04M216
COLORADO DEPARTMENT OF HEALTH CLASS B SUBLICENSE
CO
01
—
078410174
DUNS
CO
05
—
17200083
—
CO
01
—
20121089383
STATE OF COLORADO IDENTIFICATION NUMBER
CO
01
—
6RV43
CAGE
CO
Enumeration date
03/12/2012
Last updated
05/19/2022
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