Active NPI
Life Care at Home of Colorado Inc.
- Home Health Agency
- Alamosa, CO
National Provider Identifier
1043200348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE CARE AT HOME OF COLORADO INC.
- Practice address
- 177 Craft Drive
Suite 100
Alamosa, CO 81101-2269 - Phone
- (719) 589-6425
- Fax
- (719) 589-1021
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pam Rau
- Title
- VP of Finance
- Phone
- (423) 473-5280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CO | Primary |
Addresses
Primary practice location
177 Craft Drive
Suite 100
Alamosa, CO 81101-2269
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00925349 | Medicaid | CO |
Other names 1
- At Home Healthcare, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1043200348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123713",
"telephone_number": "423-473-5256",
"fax_number": "423-339-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 CRAFT DRIVE",
"address_2": "SUITE 100",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012269",
"telephone_number": "719-589-6425",
"fax_number": "719-589-1021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE AT HOME OF COLORADO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "RAU",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "423-473-5280",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00925349",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "At Home Healthcare, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.