Colorado Family Quality Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04J169 Issued in CO

Legal business name

COLORADO FAMILY QUALITY HOME CARE

Practice address

1450 S Havana St
Suite410
Aurora, CO 80012-4018

Phone

(720) 296-4293

Fax

(303) 632-7225

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Ama Koomson, REGISTERED NURSE

Title

Administrator

Phone

(303) 632-7225

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1043618416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 410",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124025",
            "telephone_number": "720-296-4293",
            "fax_number": "303-632-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST",
            "address_2": "SUITE410",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "720-296-4293",
            "fax_number": "303-632-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY QUALITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "KOOMSON",
        "authorized_official_first_name": "AMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-632-7225",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04J169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39262006",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "04J169",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04U759",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Aurora, CO
• Providers in Aurora, 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 Nov 2, 2023; 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.