# AVIV HOME CARE

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

## Provider details

- **NPI number:** 1295287456
- **Authorized official:** MR. MOISEY KONONOV (OWNER)
- **Authorized official phone:** (303) 931-7974

## Contact information

- **Practice address:** 21804 E LAKE PL, AURORA, CO 80015-5005
- **Practice address phone:** (303) 931-7974
- **Practice address fax:** (303) 931-7974
- **Mailing address:** 21804 E LAKE PL, AURORA, CO 80015-5005
- **Mailing address phone:** (303) 931-7974
- **Mailing address fax:** (303) 931-7974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 11/03/2016