Organization Active NPI

Colorado Spirit Home Care

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1003024514
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10G509 Issued in CO
Legal business name
COLORADO SPIRIT HOME CARE
Practice address
10700 E Bethany Dr
Suite 200
Aurora, CO 80014
Phone
(303) 695-8888
Fax
(303) 695-8881
NPI assigned
May 18, 2007
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Mrs. Dilrabo M. Asimova
Title
Administrator
Phone
(303) 695-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10G509 CO Primary

Addresses

Primary practice location

10700 E Bethany Dr
Suite 200
Aurora, CO 80014

Mailing address

10700 E Bethany Dr
Suite 200
Aurora, CO 80014
Phone (303) 695-8888

Other identifiers 1

IdentifierTypeStateIssuer
64100855MedicaidCO

National Provider Directory

National Provider Directory

Locations

10700 E Bethany Dr
Ste 200
Aurora, CO 80014
Phone (303) 695-8888

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1003024514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E BETHANY DR",
            "address_2": "SUITE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "303-695-8888",
            "fax_number": "303-695-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E BETHANY DR",
            "address_2": "SUITE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "303-695-8888",
            "fax_number": "303-695-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPIRIT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "ASIMOVA",
        "authorized_official_first_name": "DILRABO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-695-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "10G509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64100855",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.