Provider Demographics
NPI:1174764112
Name:RESHAPE PARTY, LLC
Entity type:Organization
Organization Name:RESHAPE PARTY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-317-5661
Mailing Address - Street 1:1250 S BUCKLEY RD
Mailing Address - Street 2:SUITE I-105
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4180
Mailing Address - Country:US
Mailing Address - Phone:303-317-5661
Mailing Address - Fax:303-317-6571
Practice Address - Street 1:5303 E EVANS AVE
Practice Address - Street 2:SUITE 102B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5229
Practice Address - Country:US
Practice Address - Phone:303-317-5661
Practice Address - Fax:303-317-6571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-22
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health