Santa Fe Trail Senior Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SANTA FE TRAIL SENIOR SERVICES INC

Doing business as

Home Well Care Services

Practice address

3720 Sinton Rd Ste 130
Colorado Springs, CO 80907-5085

Phone

(719) 358-6873

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tracie DominguezNPI 1790011757

Title

Executive Director

Phone

(719) 358-6873

Specialties & licenses 1

Addresses

Other names 1

• Home Well Care Services Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Tue Dominguez, PA-C

  • Physician Assistant
  • Fort Carson, CO
  • NPI 1790011757
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1073112207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085",
            "telephone_number": "719-358-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085",
            "telephone_number": "719-358-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE TRAIL SENIOR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-358-6873",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tdominguez@homewellcares.com",
            "affiliation": "N",
            "endpointDescription": "tdominguez@homewellcares.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3720 Sinton Rd Ste 130",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809075085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Home Well Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Catherine Sanford, ACNP-BC
• Timothy Lynn Sanford, M.A.
• Walter Scott Sanford, MD
• Jonathan Sangster
• Kimberley P Sannes
• Jennifer Santana Arellano
• Juan Carlos Santana, DPT
• Gheena Santha
• Alejandra Santiago Mendez
• Elvis Santiago

• In Home Supportive Care Agency in Colorado Springs, CO
• Providers in Colorado Springs, 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 Oct 19, 2020; 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.