MQ Long Term Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MQ LONG TERM CARE AGENCY

Practice address

1700 Wadsworth Blvd
Lakewood, CO 80214-5256

Phone

(303) 238-1488

Fax

(303) 238-1459

NPI assigned

Feb 25, 2020

Last updated

Feb 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Phan

Title

Manager

Phone

(720) 933-5099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1629602933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145256",
            "telephone_number": "303-238-1488",
            "fax_number": "303-238-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145256",
            "telephone_number": "303-238-1488",
            "fax_number": "303-238-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQ LONG TERM CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-933-5099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Moyer, DPT
• Susan Kay Moyer, RN
• MP Totalcare Services, Inc. (CCS Medical)
• MPS Health Care (Continuum Associates)
• MPS Healthcare Inc (Continuum Associates, Inc.)
• MQM Consulting, LLC
• MTX Care Colorado, PLLC
• Amy Muck, PHARMD
• Erin Nicole Mudgett, LPC
• Emily Kay Mueller, PA-C

• In Home Supportive Care Agency in Lakewood, CO
• Providers in Lakewood, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.