Organization
PROFESSIONAL HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL A BELLINGER (PRESIDENT)
(720) 530-5492
Entity
Organization
Contact information
Practice address
3434 47TH ST, SUITE 100, BOULDER, CO 80301-1880
(303) 444-1981
(720) 864-2839
Mailing address
1629 HARVARD ST, LONGMONT, CO 80503-2219
(720) 494-0190
(720) 864-2839
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
01
—
04138020
OTHER HCBS
CO
Enumeration date
03/21/2007
Last updated
08/21/2020
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