Organization Active NPI

Colorado Domestic Care Inc.

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1083237838
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COLORADO DOMESTIC CARE INC.
Practice address
125 N Parkside Dr Suite 201-I
Colorado Springs, CO 80909-8090
Phone
(719) 800-2232
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Mr. Artour Belov
Title
Owner
Phone
(720) 299-5995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

125 N Parkside Dr Suite 201-I
Colorado Springs, CO 80909-8090

Mailing address

125 N Parkside Dr Suite 201 -I
Colorado Springs, CO 80909-6097
Phone (719) 800-2232

Other identifiers 1

IdentifierTypeStateIssuer
20191748380MedicaidCO

National Provider Directory

National Provider Directory

Locations

125 N Parkside Dr
Ste 201I
Colorado Springs, CO 80909
Phone (719) 800-2232

125 N Parkside Dr
Ste 201
Colorado Springs, CO 80909
Phone (719) 577-9190

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1083237838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N PARKSIDE DR SUITE 201 -I",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096097",
            "telephone_number": "719-800-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PARKSIDE DR SUITE 201-I",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098090",
            "telephone_number": "719-800-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DOMESTIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "BELOV",
        "authorized_official_first_name": "ARTOUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-299-5995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20191748380",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.