The Coach Home Care and Consulting Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04M594 Issued in CO

Legal business name

THE COACH HOME CARE AND CONSULTING AGENCY, LLC

Practice address

1900 E Pikes Peak Ave
Colorado Springs, CO 80909-5850

Phone

(719) 391-4444

Fax

(719) 390-6895

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christel Aime, RN-BSN

Title

President

Phone

(719) 231-2152

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1114386448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095850",
            "telephone_number": "719-391-4444",
            "fax_number": "719-390-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095850",
            "telephone_number": "719-391-4444",
            "fax_number": "719-390-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COACH HOME CARE AND CONSULTING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "AIME",
        "authorized_official_first_name": "CHRISTEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-231-2152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN-BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04M594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96732369",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.