Organization
GUNERATNE LLC
Active
Other names
LifeSpring Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRASSANA GUNERATNE (ADMINISTRATOR)
(303) 663-3663
Entity
Organization
Contact information
Practice address
312 WILCOX ST, #204, CASTLE ROCK, CO 80104-2480
(303) 663-3663
(303) 663-8879
Mailing address
312 WILCOX ST, #204, CASTLE ROCK, CO 80104-2480
(303) 663-3663
(303) 663-8879
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
N/A
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
606739000
ACS-DEPARTMENT OF LABOR
CO
05
—
67732739
—
CO
01
—
841591880
UNITED HEALTH CARE #
CO
01
—
841591880-01
PACIFICARE/SECURE HORIZON
CO
Enumeration date
10/18/2005
Last updated
08/25/2015
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