Active NPI
R&a Home Care
- Home Health Agency
- Centennial, CO
National Provider Identifier
1073972097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04R666
- Legal business name
- R&A HOME CARE
- Practice address
- 7255 S Havana St Ste 130
Centennial, CO 80112-3887 - Phone
- (303) 960-4732
- Fax
- (303) 736-2195
- NPI assigned
- Feb 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Artem Matevosyants
- Title
- Managing Partner
- Phone
- (303) 960-4732
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04R666 | CO | Primary |
| In Home Supportive Care Agency | 253Z00000X | 04R586 | CO |
Addresses
Primary practice location
7255 S Havana St Ste 130
Centennial, CO 80112-3887
Mailing address
7255 S Havana St Ste 130
Centennial, CO 80112-3887
Phone (303) 960-4732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48808016 | Medicaid | CO | |
| 66681871 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508112000000",
"number": "1073972097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 S HAVANA ST STE 130",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123887",
"telephone_number": "303-960-4732",
"fax_number": "303-736-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 S HAVANA ST STE 130",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123887",
"telephone_number": "303-960-4732",
"fax_number": "303-736-2195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R&A HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2017-10-16",
"status": "A",
"authorized_official_last_name": "MATEVOSYANTS",
"authorized_official_first_name": "ARTEM",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "303-960-4732"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "04R666",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CO",
"license": "04R586",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48808016",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66681871",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.