Columbine Poudre Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLUMBINE POUDRE HOME CARE, LLC

Doing business as

Bloom at Home
Columbine Poudre Home Care, LLC Bloom at Home

Practice address

915 Centre Ave Ste 2
Fort Collins, CO 80526-6046

Phone

(970) 482-5096

Fax

(970) 224-2518

NPI assigned

Dec 27, 2022

Organization subpart

Yes

Parent organization

COLUMBINE POUDRE HOME CARE, LLCAs reported in NPPES

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

Authorized official

Name

Barry K Fancher

Title

Cfo

Phone

(970) 482-0198

Specialties & licenses 4

Addresses

Other names 2

• Bloom at Home Doing business as
• Columbine Poudre Home Care, LLC Bloom at Home Doing business as

Tax ID family

Columbine Poudre Home Care LLC2 organizations share this tax ID, including this one

Part of

Columbine Poudre Home Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Columbine Poudre Home Care, LLC

  • Home Health Agency
  • Fort Collins, CO
  • NPI 1184623977
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Columbine Poudre Home Care, LLC

  • Home Health Agency
  • Fort Collins, CO
  • NPI 1184623977
  NPPES parent name

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1114630852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W DRAKE RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265567",
            "telephone_number": "970-482-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CENTRE AVE STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266046",
            "telephone_number": "970-482-5096",
            "fax_number": "970-224-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE POUDRE HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBINE POUDRE HOME CARE, LLC",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-482-0198"
    },
    "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
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloom at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbine Poudre Home Care, LLC Bloom at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Colton
• Keith Colton, LCSW, MSW
• Columbine Care Center West Inc. (Columbine West Health & Rehab Facility)
• Columbine Management Services Inc (Columbine Health Systems)
• Columbine Medical Equipment Inc (Market Centre Medical Equipment & Supplies)
• Columbine Poudre Home Care, LLC
• Columbine West Health and Rehab LLC
• Columbine Women's Clinic
• Cindy Kay Comer, RN
• Comfort Dental Fort Collins

• Home Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.