Colorado Skilled Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLORADO SKILLED HOME CARE, LLC

Practice address

2345 S Federal Blvd
Denver, CO 80219-5435

Phone

(509) 570-2571

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Derek Charles Martin

Title

Director

Phone

(509) 570-2571

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Colorado Skilled Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Colorado Skilled Home Care, LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1497214852
  NPD tax ID
• Colorado Skilled Home Care, LLC

  • In Home Supportive Care Agency
  • Denver, CO
  • NPI 1770042137
  NPD tax ID

Locations

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1063970846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195435",
            "telephone_number": "509-570-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195435",
            "telephone_number": "509-570-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SKILLED HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-570-2571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derek.martin@thi5280.com",
            "affiliation": "N",
            "endpointDescription": "Provider Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2345 S Federal Blvd",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802195435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colorado Retina Associates, PLLC
• Colorado Retina Associates, PLLC
• Colorado School Medicaid Consortium
• Colorado Seminary
• Colorado Senior Care
• Colorado Skilled Home Care, LLC
• Colorado Skilled Home Care, LLC
• Colorado Sleep &Pulmonary PC
• Colorado Sleep Diagnostics LLC
• Colorado Social Work Collaborative, PLLC

• Home Health Agency in Denver, CO
• Providers in Denver, 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 Mar 11, 2019; 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.