Organization
FRONT RANGE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PHAN THORNTON (MANAGE)
(720) 496-0044
Entity
Organization
Contact information
Practice address
12391 E CORNELL AVE, AURORA, CO 80014-3323
(720) 496-0044
(720) 440-7788
Mailing address
12391 E CORNELL AVE UNIT 3, AURORA, CO 80014-3323
(720) 496-0044
(720) 440-7788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65485041
—
CO
Enumeration date
12/29/2015
Last updated
02/25/2025
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