Organization Active NPI

Aimigo Home Health, LLC

  • Home Health Agency
  • Pueblo, CO
National Provider Identifier
1104393693
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AIMIGO HOME HEALTH, LLC
Practice address
1208 Eagleridge Blvd Ste D
Pueblo, CO 81008-2329
Phone
(719) 924-9458
Fax
(719) 924-8904
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Dr. Robert Joseph Avila, DCNPI 1245248400
Title
Owner/Administrator
Phone
(719) 924-9458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

1208 Eagleridge Blvd Ste D
Pueblo, CO 81008-2329

Mailing address

1208 Eagleridge Blvd Ste D
Pueblo, CO 81008-2329
Phone (719) 924-9458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190425000483 CO Part A Provider - Home Health Agency 6406198324 Practice locations: Pueblo, CO

Home health agency certification: CCN 067578

Legal name
AIMIGO HOME HEALTH LLC
Doing business as
AIMIGO HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 10, 2019
Last certification
Sep 10, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 18, 2018 in CO
Enrollment address
1208 Eagleridge Blvd
Ste D
Pueblo, CO 81008-2329

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aimigo Home Health LLCCCN 067578
Ownership
Proprietary
Certified
Sep 10, 2019
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
Aimigo Home Health LLC2 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

1208 Eagleridge Blvd
Ste D
Pueblo, CO 81008
Phone (719) 924-9458

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
Marissa Garcia Individual W-2 Managing EmployeeAlternate Director of Nursing Apr 24, 2023
Robert J Avila Individual 5% Or Greater Direct Ownership InterestOwner Oct 18, 2018 100%
Operational/Managerial ControlAdministrator / LLC Manager Oct 18, 2018 100%
Alexandria Ben Individual W-2 Managing EmployeeDirector of Nursing Dec 9, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1104393693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 EAGLERIDGE BLVD STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082329",
            "telephone_number": "719-924-9458",
            "fax_number": "719-924-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 EAGLERIDGE BLVD STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082329",
            "telephone_number": "719-924-9458",
            "fax_number": "719-924-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMIGO HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "719-924-9458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.