Active NPI
Tara Cares LLC
- In Home Supportive Care Agency
- Kit Carson, CO
National Provider Identifier
1104596600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- TARA CARES LLC
- Practice address
- 406 Depee St
Kit Carson, CO 80825-5029 - Phone
- (719) 962-3203
- NPI assigned
- Sep 15, 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
- Tara Gaynor
- Title
- Owner
- Phone
- (719) 342-9458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
406 Depee St
Kit Carson, CO 80825-5029
Mailing address
PO Box 132
Kit Carson, CO 80825-0132
Phone (719) 962-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25409247 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgaynor@touchinghearts.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1104596600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "KIT CARSON",
"state": "CO",
"postal_code": "808250132",
"telephone_number": "719-962-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 DEPEE ST",
"city": "KIT CARSON",
"state": "CO",
"postal_code": "808255029",
"telephone_number": "719-962-3203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA CARES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "GAYNOR",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-342-9458"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25409247",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgaynor@touchinghearts.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "406 Depee St",
"city": "Kit Carson",
"state": "CO",
"country_code": "US",
"postal_code": "808255029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kit Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.