Active NPI
PHHC Acquisition Corp.
- Home Health Agency
- Pueblo, CO
National Provider Identifier
1104414747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHHC ACQUISITION CORP.
- Practice address
- 1315 Fortino Blvd Ste a
Pueblo, CO 81008-1982 - Phone
- (719) 583-0832
- Fax
- (719) 583-0849
- NPI assigned
- Jan 8, 2021
- 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
- Sean Patrick Turner
- Title
- VP Revenue Cycle
- Phone
- (810) 360-3133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1315 Fortino Blvd Ste a
Pueblo, CO 81008-1982
Mailing address
PO Box 1509
Louisville, KY 40201-1509
Phone (913) 814-2716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040504 | Other | CO | STATE LICENSE |
Other names 1
- CenterWell Home Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.kindredathome.com |
National Provider Directory
National Provider Directory- Tax ID family
- Centerwell Home Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Denver, CO
- NPI 1073338711
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1346408762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1104414747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1509",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402011509",
"telephone_number": "913-814-2716",
"fax_number": "913-814-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 FORTINO BLVD STE A",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081982",
"telephone_number": "719-583-0832",
"fax_number": "719-583-0849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHHC ACQUISITION CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-08",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "VP REVENUE CYCLE",
"authorized_official_telephone_number": "810-360-3133"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "040504",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.kindredathome.com",
"affiliation": "N",
"address_1": "1315 Fortino Blvd Ste A",
"city": "Pueblo",
"state": "CO",
"country_code": "US",
"postal_code": "810081982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "CenterWell Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.