MQ LONG TERM CARE AGENCY (NPI# 1629602933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629602933 |
| Entity Type | Organization |
| Organization Name | MQ LONG TERM CARE AGENCY |
| Practice Address |
1700 Wadsworth Blvd Lakewood CO 80214-5256 |
| Practice Telephone | 3032381488 |
| Practice Fax Number | 3032381459 |
| Mailing Telephone | 3032381488 |
| Mailing Fax Number | 3032381459 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | MRS. AMANDA PHAN (MANAGER) |
| Authorized Official Telephone | 7209335099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1700 WADSWORTH BLVD |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316965536 | Hai P Bui | Internal Medicine | 1700 Wadsworth Blvd, Lakewood, CO 80214-5256 | 2006-07-17 |
| 1821622283 | Bui Family Care Inc | Assisted Living Facility | 1700 Wadsworth Blvd, Lakewood, CO 80214-5256 | 2020-02-25 |
| 1144654831 | Anhtuan Pham | Counselor | 1700 Wadsworth Blvd, Lakewood, CO 80214-5256 | 2013-08-29 |
| 1124450366 | Lakewood Medical Center Corporation | Health Maintenance Organization | 1700 Wadsworth Blvd, Lakewood, CO 80214-5256 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202081 | Ann E Fallon | In Home Supportive Care | 14527 Lake Ave, Lakewood, OH 44107-1327 | 2020-10-12 |
| 1457966889 | John Francis Waters | In Home Supportive Care | 2153 Niagara Dr, Lakewood, OH 44107-5434 | 2020-09-11 |
| 1235751868 | Mastering Mountains Inc | In Home Supportive Care | 8725 W 14th Ave Ste 110, Lakewood, CO 80215-4849 | 2020-05-18 |
| 1376100453 | Godwin Care Services LLC | In Home Supportive Care | 5230 Clark Ave Ste 30, Lakewood, CA 90712-2666 | 2019-05-23 |
| 1093288938 | Anton Home Health Care | In Home Supportive Care | 7510 W Mississippi Ave Ste 200, Lakewood, CO 80226-4570 | 2019-01-03 |
| 1952816407 | Hanson Services Inc | In Home Supportive Care | 17017 Madison Ave, Lakewood, OH 44107-3501 | 2017-12-06 |
| 1992214290 | Sunshine Homecare Support Services Corp. | In Home Supportive Care | 2539 S Holland Ct, Lakewood, CO 80227-2939 | 2017-09-29 |
| 1124574728 | Blue Moon Enterprises LLC | In Home Supportive Care | 1250 Kline St, Lakewood, CO 80215-4538 | 2016-09-01 |
| 1689020497 | The Arc Ocean County Chapter Inc. | In Home Supportive Care | 815 Cedarbridge Ave, Lakewood, NJ 08701-4932 | 2016-05-11 |
| 1265808695 | Careofservices | In Home Supportive Care | 232 Ridge Ave, Lakewood, NJ 08701-3448 | 2015-08-20 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.