Organization Active NPI

Pasco-SW, Inc

Doing business as PASCO/SW Home Heatlh

  • Home Health Agency
  • Grand Junction, CO
National Provider Identifier
1164824553
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66335035MedicaidCO

Other names 1

  • PASCO/SW Home Heatlh Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

501 S Townsend Ave
Montrose, CO 81401
Phone (970) 245-2254

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2021 Change of OwnershipThis provider was the seller Pasco/SW Home Health - Grand JunctionCCN 067535, CO, NPI 1841875002

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.