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Contact Information

STATEWIDE HEALTHCARE LLC
2130 S. ACADEMY BLVD.
#103
COLORADO SPRINGS, CO80916
 Phone: 719-434-1513
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

In Home Supportive Care

253Z00000X
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for STATEWIDE HEALTHCARE LLC

NPI Number 1013463868
LBN Legal business name STATEWIDE HEALTHCARE LLC
Authorized official ANELECHI IHEOMAMERE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2016
Last updated 01/25/2018 - About 8 years ago
Identifiers
CO License # 041455
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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