Active NPI
Senior Hub
- Personal Care Attendant
- Thornton, CO
National Provider Identifier
1114288636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 04N287
- Legal business name
- SENIOR HUB
- Practice address
- 9025 Grant St Ste 150
Thornton, CO 80229 - Phone
- (303) 426-4408
- Fax
- (303) 426-0014
- NPI assigned
- May 31, 2012
- 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
- Calina Chatelain Bowman, DO
- Title
- Business Manager
- Phone
- (303) 426-4408
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04N287 | CO | |
| In Home Supportive Care Agency | 253Z00000X | 04N287 | CO | |
| Personal Care Attendant | 3747P1801X | 04N287 | CO | Primary |
Addresses
Primary practice location
9025 Grant St Ste 150
Thornton, CO 80229
Mailing address
9025 Grant St Ste 150
Thornton, CO 80229-4346
Phone (303) 426-4408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25537032 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Senior Hub
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Federal Heights, CO
- NPI 1043765084
Locations
9025 Grant St
Ste 150
Thornton, CO 80229
Phone (303) 426-4408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529366400000",
"number": "1114288636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 GRANT ST STE 150",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294346",
"telephone_number": "303-426-4408",
"fax_number": "303-426-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 GRANT ST STE 150",
"city": "THORNTON",
"state": "CO",
"postal_code": "80229",
"telephone_number": "303-426-4408",
"fax_number": "303-426-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR HUB",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-31",
"last_updated": "2018-06-19",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "CALINA",
"authorized_official_middle_name": "CHATELAIN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "303-426-4408",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "04N287",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CO",
"license": "04N287",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "CO",
"license": "04N287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25537032",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.