Charter Healthcare of Northern Colorado, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04Z780 Issued in CO

Legal business name

CHARTER HEALTHCARE OF NORTHERN COLORADO, LLC

Practice address

1562 Taurus CT
Loveland, CO 80537-3280

Phone

(970) 667-2273

Fax

(888) 891-0585

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Sylvie Boal

Title

Compliance

Phone

(909) 644-4965

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Phoenix Home Care Doing business as

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1043713993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 TAURUS CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373280",
            "telephone_number": "970-667-2273",
            "fax_number": "888-891-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 TAURUS CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373280",
            "telephone_number": "970-667-2273",
            "fax_number": "888-891-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTHCARE OF NORTHERN COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "909-644-4965"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04Z780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146914",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Chalifour
• Champion Supports LLC
• Grace Idell Chaparro, BA
• Brooke Pevny Chapman, LCSW
• Charlie Buckley
• Charter Healthcare of Northern Colorado, LLC
• Charter Healthcare of Northern Colorado, LLC
• Eric Chase
• Jerry A Chase, MD
• Luis Gabriel Chavez, PA-C

• In Home Supportive Care Agency in Loveland, CO
• Providers in Loveland, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.