Provider Demographics
NPI:1578375317
Name:HARVEST RIDGE HOME CARE LLC
Entity type:Organization
Organization Name:HARVEST RIDGE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHHALI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-434-8770
Mailing Address - Street 1:24483 E PACIFIC PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6216
Mailing Address - Country:US
Mailing Address - Phone:720-434-8770
Mailing Address - Fax:
Practice Address - Street 1:24483 E PACIFIC PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6216
Practice Address - Country:US
Practice Address - Phone:720-434-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care