Provider Demographics
NPI:1871959684
Name:5280 HOME CARE AND ATTENDANT SERVICES, INC
Entity type:Organization
Organization Name:5280 HOME CARE AND ATTENDANT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-552-8080
Mailing Address - Street 1:2600 S PARKER RD STE 7-372
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1699
Mailing Address - Country:US
Mailing Address - Phone:720-552-8080
Mailing Address - Fax:303-500-1724
Practice Address - Street 1:2600 S PARKER RD STE 7-372
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1699
Practice Address - Country:US
Practice Address - Phone:720-552-8080
Practice Address - Fax:303-500-1724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COZ02127253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO65731778Medicaid