Active NPI
Aimigo Home Health, LLC
- Home Health Agency
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Joseph Avila, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Sep 10, 2019
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Aimigo Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Pueblo, CO
- NPI 1013763887
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marissa Garcia | W-2 Managing Employee | Apr 24, 2023 | |
| Robert J Avila | 5% Or Greater Direct Ownership Interest | Oct 18, 2018 | 100% |
| Operational/Managerial Control | Oct 18, 2018 | 100% | |
| Alexandria Ben | W-2 Managing Employee | 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.
-
- Chiropractor
- Pueblo, CO
- NPI 1245248400
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Pueblo, CO
- NPI 1245248400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.