Organization
HOME CARE RN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAT GESELKOVICH (CEO)
(303) 549-0822
Entity
Organization
Contact information
Practice address
1325 S COLORADO BLVD # B101, DENVER, CO 80222-3303
(720) 535-8652
Mailing address
1325 S COLORADO BLVD # B101, DENVER, CO 80222-3303
(720) 535-8652
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31600280
—
CO
Enumeration date
02/24/2022
Last updated
08/21/2022
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