NPIMap

Organization Active NPI

Addis Home Health Care

Doing business as Addis Home Health Care LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1013271493
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADDIS HOME HEALTH CARE
Doing business as
Addis Home Health Care LLC
Practice address
1010 S Joliet St Ste 101
Aurora, CO 80012-3150
Phone
(303) 337-7799
Fax
(303) 337-0017
NPI assigned
Jun 29, 2012
Last updated
Dec 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Amare Geremew
Title
Administrator
Phone
(303) 886-8894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1010 S Joliet St Ste 101
Aurora, CO 80012-3150

Mailing address

1010 S Joliet St Ste 101
Aurora, CO 80012-3150
Phone (303) 337-7799

Other names 1

  • Addis Home Health Care LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120904000455 CO Part A Provider - Home Health Agency 7810144466 Practice locations: Aurora, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013271493. Details of each certification follow.

Home health agency certification: CCN 067519

Legal name
ADDIS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 14, 2014
Last certification
Sep 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 6, 2009 in CO
Enrollment address
1010 S Joliet St
Ste 101
Aurora, CO 80012-3150

Care Compare: Home health agency

Medicare Care Compare
Listed as
Addis Home Health Care LLCCCN 067519 · All quality measures
Ownership
Proprietary
Certified
Jan 14, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Addis Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 S Joliet St
Ste 101
Aurora, CO 80012
Phone (303) 337-7799

1602 S Parker Rd
Ste 206
Denver, CO 80231

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amare Geremew Individual 5% Or Greater Direct Ownership InterestAdministrator (Owner) Mar 6, 2009 100%
W-2 Managing EmployeeAdministrator Apr 1, 1965 100%
Operational/Managerial ControlAdministrator Apr 1, 1965 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1013271493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S JOLIET ST STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123150",
            "telephone_number": "303-337-7799",
            "fax_number": "303-337-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S JOLIET ST STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123150",
            "telephone_number": "303-337-7799",
            "fax_number": "303-337-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "GEREMEW",
        "authorized_official_first_name": "AMARE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-886-8894"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addis Home Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.