Organization Active NPI

Colorado Family Quality Home Care

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1164173209
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COLORADO FAMILY QUALITY HOME CARE
Practice address
1450 S Havana St Ste 410
Aurora, CO 80012-4025
Phone
(303) 632-7225
Fax
(303) 353-9884
NPI assigned
Jan 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Ama Koomson, RN
Title
Administrator
Phone
(303) 632-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1450 S Havana St Ste 410
Aurora, CO 80012-4025

Mailing address

1450 S Havana St Ste 410
Aurora, CO 80012-4025
Phone (303) 632-7225

Other identifiers 1

IdentifierTypeStateIssuer
9000154245MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Colorado Family Quality Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1164173209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 410",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124025",
            "telephone_number": "303-632-7225",
            "fax_number": "303-353-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 410",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124025",
            "telephone_number": "303-632-7225",
            "fax_number": "303-353-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY QUALITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "KOOMSON",
        "authorized_official_first_name": "AMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-632-7225",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000154245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.