Organization
FIRST CENTENNIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEYESUS ZERYIHUN (OWNER)
(720) 366-7391
Entity
Organization
Contact information
Practice address
16462 E BERRY PL, CENTENNIAL, CO 80015-4053
(720) 366-7391
(720) 366-7391
Mailing address
16462 E BERRY PL, CENTENNIAL, CO 80015-4053
(720) 366-7391
(720) 366-7391
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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