Mile High Lymphedema Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MILE HIGH LYMPHEDEMA CARE

Practice address

400 N Grant St Unit 119
Denver, CO 80203-4488

Phone

(805) 704-3052

NPI assigned

Aug 28, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rowen Mars Gibson, OTR/L, CLT-LANA

Title

Occupational Therapist

Phone

(805) 704-3052

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1073347399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N GRANT ST UNIT 119",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034488",
            "telephone_number": "805-704-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N GRANT ST UNIT 119",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034488",
            "telephone_number": "805-704-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH LYMPHEDEMA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ROWEN",
        "authorized_official_middle_name": "MARS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "805-704-3052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mile High Healthcare, Inc.
• Mile High Homecare LLC
• Mile High Iom, LLC
• Mile High Limo LLC.
• Mile High Limo LLLC
• Mile High Medical Supply
• Mile High Mental Health
• Mile High Ministries
• Mile High Modern Dentistry, LLP
• Mile High Native LLC

• Home Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.