Organization Active NPI

Abc Home Health Care, Inc.

  • Home Health Agency
  • Pueblo, CO
National Provider Identifier
1093864209
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABC HOME HEALTH CARE, INC.
Practice address
3715 Thatcher Ave
Pueblo, CO 81005-1255
Phone
(719) 543-2700
Fax
(719) 543-2704
NPI assigned
Jan 9, 2007
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Tammy Ann Weldon, R.N.
Title
Owner
Phone
(719) 543-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3715 Thatcher Ave
Pueblo, CO 81005-1255

Mailing address

3715 Thatcher Ave
Pueblo, CO 81005-1255
Phone (719) 543-2700

Other identifiers 1

IdentifierTypeStateIssuer
49107526MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tweldon@abc-hh.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000518 CO Part A Provider - Home Health Agency 4880628528 Practice locations: Pueblo, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093864209. Details of each certification follow.

Home health agency certification: CCN 067456

Legal name
ABC HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 11, 2006
Last certification
Jul 31, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 18, 2005 in CO
Enrollment address
3715 Thatcher Ave
Pueblo, CO 81005-1255

Care Compare: Home health agency

Medicare Care Compare
Listed as
Abc Home Health Care IncCCN 067456 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jan 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Abc Home Health Care2 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

31 Werner Rd
Penrose, CO 81240
Phone (719) 372-0444

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Tammy Ann Weldon Individual 5% Or Greater Direct Ownership InterestPresident, Vice President Jul 18, 2005 100%
Corporate OfficerPresident, Vice President Jul 18, 2005
Corporate DirectorCeo Jul 18, 2005
W-2 Managing EmployeeRN-Administrator Jul 18, 2005

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1093864209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 THATCHER AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051255",
            "telephone_number": "719-543-2700",
            "fax_number": "719-543-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 THATCHER AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051255",
            "telephone_number": "719-543-2700",
            "fax_number": "719-543-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-543-2700",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49107526",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tweldon@abc-hh.com",
            "affiliation": "N",
            "address_1": "3715 Thatcher Ave",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810051255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.