# BEACON HOME CARE

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

## Provider details

- **NPI number:** 1477913416
- **Authorized official:** MARINA GOUGOUGLIAN (OWNER)
- **Authorized official phone:** (720) 748-7843

## Contact information

- **Practice address:** 1450 S HAVANA ST, \# 707, AURORA, CO 80012-4018
- **Practice address phone:** (720) 748-7843
- **Mailing address:** 1450 S HAVANA ST, \# 707, AURORA, CO 80012-4018
- **Mailing address phone:** (720) 748-7843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 72983221 | CO | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | 72983221 | CO | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/03/2016
- **Last updated:** 11/02/2016