Organization
EXTENDED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATASHA STEPHENSON BS (OWNER/ EXECUTIVE DIRECTOR)
(720) 767-6054
Entity
Organization
Contact information
Practice address
9725 E HAMPDEN AVE STE 101, DENVER, CO 80231-4916
(720) 532-0907
(720) 282-4732
Mailing address
9725 E HAMPDEN AVE STE 101, DENVER, CO 80231-4916
(720) 532-0907
(720) 282-4732
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/05/2019
Last updated
03/06/2025
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