Kiwicare Non Medical Homecare Agency
In Home Supportive Care in Broomfield, CO. Organization (NPI-2).
NPI number1407627151
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1407627151
- Entity type
- Organization (NPI-2)
- Legal business name
- Kiwicare Non Medical Homecare Agency
- Organization subpart
- No
- Enumeration date
- Jan 11, 2024
- Certification date
- Jan 9, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
390 Interlocken Boulevard Suite 350Broomfield, CO 80021
Phone 832-284-3908
Mailing address
5100 Ronald Reagan Blvd Apt E303Johnstown, CO 80534-6482
Phone 832-284-3908
Authorized official
Jacqui Susan Taase
Owner/Operator
8322843908
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All 7 In Home Supportive Care Agency providers in Broomfield · All 1,961 providers in Broomfield
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