NPIMap

Organization Active NPI

Yucare Home Health Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1033750906
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YUCARE HOME HEALTH INC
Practice address
1450 S Havana St Ste 834
Aurora, CO 80012-4018
Phone
(303) 862-4456
Fax
(303) 862-4910
NPI assigned
Oct 2, 2019
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Mr. Abdirizak Abbi
Title
President
Phone
(720) 305-3335

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Homemaker 376J00000X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

1450 S Havana St Ste 834
Aurora, CO 80012-4018

Mailing address

1450 S Havana St Ste 834
Aurora, CO 80012-4018
Phone (303) 862-4456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515000633 CO Part A Provider - Home Health Agency 4284065897 Practice locations: Aurora, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033750906. Details of each certification follow.

Home health agency certification: CCN 067612

Legal name
YUCARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 4, 2022
Last certification
Jan 4, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 28, 2020 in CO
Enrollment address
1450 S Havana St
Ste 834
Aurora, CO 80012-4046

Care Compare: Home health agency

Medicare Care Compare
Listed as
Yucare Home Health IncCCN 067612 · All quality measures
Ownership
Proprietary
Certified
Jan 4, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Yucare Home Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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
Abdirizak Abbi Individual 5% Or Greater Direct Ownership Interest Feb 28, 2019 100%
Corporate Officer Feb 28, 2019
Corporate Director Feb 28, 2019
W-2 Managing Employee Feb 28, 2019
Operational/Managerial Control Feb 28, 2019

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1033750906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 834",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "303-862-4456",
            "fax_number": "303-862-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 834",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "303-862-4456",
            "fax_number": "303-862-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUCARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ABBI",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-305-3335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.