PS Nutrition

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1035109 Issued in IL

Legal business name

PS NUTRITION

Practice address

2457 Newton St
Denver, CO 80211-4443

Phone

(303) 910-8997

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Philip T Skaff, MSRD

Title

Owner

Phone

(303) 910-8997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1063645240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 NEWTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114443",
            "telephone_number": "303-910-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 NEWTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114443",
            "telephone_number": "303-910-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "SKAFF",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-910-8997",
        "authorized_official_credential": "MSRD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "1035109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Denver, CO
• Providers in Denver, 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 Sep 3, 2009; 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.