Organization Active NPI

Life Care at Home of Colorado Inc.

  • Home Health Agency
  • Alamosa, CO
National Provider Identifier
1043200348
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 4, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00925349MedicaidCO

Other names 1

  • At Home Healthcare, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.