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Contact Information

DIVINE DEDICATION HOME
2851 S PARKER RD
#428
AURORA, CO80014-2736
 Phone: 303-751-7077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for DIVINE DEDICATION HOME

NPI Number 1073716494
LBN Legal business name DIVINE DEDICATION HOME
Authorized official RAQUEL MARTIN - (ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 05/12/2016 - About 10 years ago
Identifiers
CO License # 251E00000X
CO Medicaid 70283231
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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