Divine Dedication Home

LBN: Divine Dedication Home
Divine Dedication Home is an health care organization with primary practice located at 2851 S Parker Rd #428, Aurora CO 80014-2736. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Divine Dedication Home can be contacted via phone (303) 751-7077, or through Martin, Raquel L via phone (303) 751-7077.

Contact Information

Primary practice address
2851 S Parker Rd #428 Aurora CO 80014-2736
Phone: (303) 751-7077
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Raquel L
Phone: (303) 751-7077

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 251E00000X Colorado

Profile Details

NPI number 1073716494
LBN Legal business name Divine Dedication Home
DBA Doing business as
Authorized official Martin, Raquel L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated May 12th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073716494 NPPES
Colorado MEDICAID 70283231

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