Provider Demographics
NPI:1538981881
Name:MOM'S HANDS HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:MOM'S HANDS HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEIFU
Authorized Official - Middle Name:
Authorized Official - Last Name:TULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-757-4293
Mailing Address - Street 1:20986 E 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-2264
Mailing Address - Country:US
Mailing Address - Phone:720-757-4293
Mailing Address - Fax:
Practice Address - Street 1:20986 E 61ST AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-2264
Practice Address - Country:US
Practice Address - Phone:720-757-4293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty