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MD CARE LLC
NPI 1972346005
Custodial Care Facility - Adult Care Home in Pueblo, CO

Active since June 17, 2024
5 DONNINGTON ST, PUEBLO, CO 81005(720) 324-1989 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About MD CARE LLC

This page provides the complete NPI Profile along with additional information for Md Care Llc, a provider established in Pueblo, Colorado operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1972346005 assigned on June 2024. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mosaab Dawla (Administrator)

NPI
1972346005 Verify this NPI
Provider Name
MD CARE LLC
Entity Type
Organization
Location Address
5 DONNINGTON ST PUEBLO, CO 81005
Location Phone
(720) 324-1989
Mailing Address
1642 S PARKER RD STE 105 DENVER, CO 80231
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2024
Last Update Date
06-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

 
2320700000XResidential Treatment Facilities

Residential Treatment Facility, Physical Disabilities

 
3385H00000XRespite Care Facility

Respite Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOSAAB DAWLA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(720) 324-1989

Reviews for MD CARE LLC

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Frequently Asked Questions

What is MD CARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1972346005, enumerated as an "organization" on June 17, 2024.

Where is the provider located?

The provider is located at 5 DONNINGTON ST PUEBLO, CO 81005 and the phone number is (720) 324-1989.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.