Organization
SENIOR HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALINA CHATELAIN BOWMAN DO (BUSINESS MANAGER)
(303) 426-4408
Entity
Organization
Contact information
Practice address
9025 GRANT ST STE 150, THORNTON, CO 80229
(303) 426-4408
(303) 426-0014
Mailing address
9025 GRANT ST STE 150, THORNTON, CO 80229-4346
(303) 426-4408
(303) 426-0014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
04N287
CO
253Z00000X
In Home Supportive Care Agency
04N287
CO
3747P1801X
Personal Care Attendant
Primary
04N287
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25537032
—
CO
Enumeration date
05/31/2012
Last updated
06/19/2018
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