Forward Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FORWARD HEALTH LLC

Practice address

335 1St Ave
#6
Longmont, CO 80501

Phone

(303) 381-3097

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Eric Craig Nakayama

Title

President

Phone

(303) 381-3097

Specialties & licenses 2

Addresses

Other names 1

• ForWARD Health Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067646

Legal name

FORWARD HEALTH LLC

Doing business as

FORWARD HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 27, 2025

Last certification

Jan 27, 2025

Organization structure

LLCProprietary

Incorporated

Dec 21, 2023 in CO

Enrollment address

335 1St Ave
Unit B2
Longmont, CO 80501-5958

Listed as

Forward HealthCCN 067646

Ownership

-

Certified

Jan 27, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Forward Health2 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.

• Forward Health LLC

  • Home Health Agency
  • Longmont, CO
  • NPI 1659165165
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1043075443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 1ST AVE # 6",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015958",
            "telephone_number": "303-381-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 1ST AVE",
            "address_2": "#6",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "303-381-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "NAKAYAMA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-381-3097",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForWARD Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Ann Forreider, MA, LAC, LMFT
• Larry L Forrest, OD
• Michele Forsberg, P.T.
• Lauren Forsythe, MA, NCC
• Tamara Forsythe, D.C.
• Forward Health LLC
• Forward Together/Adelante Juntos Counseling, LLC
• Kendall Foster Bullock, CD (DTI)
• Foster Chiropractic & Wellness Center, PLLC
• Brian Keith Foster, D.C.

• Home Health Agency in Longmont, CO
• Providers in Longmont, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.