Provider Demographics
NPI:1437820149
Name:MEDIGUARD HOME HEALTH CARE INC
Entity type:Organization
Organization Name:MEDIGUARD HOME HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEDHANET
Authorized Official - Middle Name:
Authorized Official - Last Name:GELAW
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-240-6950
Mailing Address - Street 1:14221 E 4TH AVE STE 2-130
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8735
Mailing Address - Country:US
Mailing Address - Phone:720-240-6950
Mailing Address - Fax:303-749-1130
Practice Address - Street 1:14221 E 4TH AVE STE 2-130
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8735
Practice Address - Country:US
Practice Address - Phone:720-240-6950
Practice Address - Fax:303-749-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health