Organization
AHISKA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR BAYERMAN (DIRECTOR)
(303) 632-6720
Entity
Organization
Contact information
Practice address
1450 S HAVANA ST UNIT 520, AURORA, CO 80012-4018
(303) 632-6720
(303) 872-9120
Mailing address
1450 S HAVANA ST UNIT 520, AURORA, CO 80012
(303) 632-6720
(303) 872-9120
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04M462
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26873273
—
CO
Enumeration date
11/18/2016
Last updated
07/20/2021
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