NPIMap

Organization Active NPI

Statewide Healthcare LLC

  • Homemaker
  • Colorado Springs, CO
National Provider Identifier
1013463868
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
STATEWIDE HEALTHCARE LLC
Practice address
2130 S. Academy Blvd.
#103
Colorado Springs, CO 80916
Phone
(719) 434-1513
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mr. Anelechi Iheomamere
Title
Administrator
Phone
(719) 434-1513

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 041455 CO
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

2130 S. Academy Blvd.
#103
Colorado Springs, CO 80916

Mailing address

2130 S. Academy Blvd
#103
Colorado Springs, CO 80916
Phone (719) 434-1513

National Provider Directory

National Provider Directory
Tax ID family
Statewide Healthcare LLC2 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.

Ownership & related parties

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1013463868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 S. ACADEMY BLVD",
            "address_2": "#103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80916",
            "telephone_number": "719-434-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S. ACADEMY BLVD.",
            "address_2": "#103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80916",
            "telephone_number": "719-434-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "IHEOMAMERE",
        "authorized_official_first_name": "ANELECHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-434-1513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "041455",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.