Active NPI
Pasco-SW, Inc
Doing business as PASCO/SW Home Heatlh
- Home Health Agency
- Grand Junction, CO
National Provider Identifier
1164824553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PASCO-SW, INC
- Doing business as
- PASCO/SW Home Heatlh
- Practice address
- 2764 Compass Dr Ste 244
Grand Junction, CO 81506-8722 - Phone
- (970) 208-1430
- Fax
- (970) 564-8057
- NPI assigned
- Sep 17, 2014
- Last updated
- Jan 19, 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
- Ms. Yvette Tanner
- Title
- Ceo
- Phone
- (970) 565-6833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
2764 Compass Dr Ste 244
Grand Junction, CO 81506-8722
Mailing address
2764 Compass Dr Ste 244
Grand Junction, CO 81506-8722
Phone (970) 208-1430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66335035 | Medicaid | CO |
Other names 1
- PASCO/SW Home Heatlh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
501 S Townsend Ave
Montrose, CO 81401
Phone (970) 245-2254
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 1, 2021 | Change of Ownership | Pasco/SW Home Health - Grand Junction |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Pasco/SW Home Health Grand Junction
- Home Health Agency
- Grand Junction, CO
- NPI 1841875002
Sold to, 2021-04-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1164824553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 COMPASS DR STE 244",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068722",
"telephone_number": "970-208-1430",
"fax_number": "970-564-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 COMPASS DR STE 244",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068722",
"telephone_number": "970-208-1430",
"fax_number": "970-564-8057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASCO-SW, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-17",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "TANNER",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-565-6833",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66335035",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PASCO/SW Home Heatlh",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.