NPIMap

Organization Active NPI

Icare Home Health Agency LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1093353997
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ICARE HOME HEALTH AGENCY LLC
Practice address
2851 S Parker Rd # 3428
Aurora, CO 80014-2736
Phone
(303) 993-6393
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Fahrren Bolastig
Title
Owner
Phone
(720) 499-2956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2851 S Parker Rd # 3428
Aurora, CO 80014-2736

Mailing address

2851 S Parker Rd # 3428
Aurora, CO 80014-2736
Phone (303) 993-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200605001237 CO Part A Provider - Home Health Agency 0547681165 Practice locations: Aurora, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093353997. Details of each certification follow.

Home health agency certification: CCN 067595

Legal name
ICARE HOME HEALTH AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 14, 2021
Last certification
Apr 14, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 6, 2019 in CO
Enrollment address
2851 S Parker Rd
Ste 428
Aurora, CO 80014-2802

Care Compare: Home health agency

Medicare Care Compare
Listed as
Icare Home Health Agency LLCCCN 067595 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 14, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Icare Home Health Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2851 S Parker Rd
#3428
Aurora, CO 80014
Phone (303) 993-6393

4901 E Dry Creek Rd
Ste G60
Centennial, CO 80122
Phone (303) 993-6393

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Fe de Guzman Individual Corporate OfficerSecretary, Board Member Dec 6, 2019
Corporate DirectorSecretary, Board Member Dec 6, 2019
W-2 Managing EmployeeSecretary, Board Member Dec 6, 2019
Fahrren Bolastig Individual 5% Or Greater Direct Ownership Interest Dec 6, 2019 100%
Corporate OfficerPresident, Board Member Dec 6, 2019
Corporate DirectorPresident, Board Member Dec 6, 2019
W-2 Managing EmployeePresident, Board Member Dec 6, 2019
Christopher F Bolastig Individual Corporate OfficerVP, Treasurer, Board Member Dec 6, 2019
Corporate DirectorVP, Treasurer, Board Member Dec 6, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1093353997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD # 3428",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142736",
            "telephone_number": "303-993-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD # 3428",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142736",
            "telephone_number": "303-993-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "BOLASTIG",
        "authorized_official_first_name": "FAHRREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-499-2956"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.