Organization Active NPI

Riverside Homecare LLC

  • In Home Supportive Care Agency
  • Fort Collins, CO
National Provider Identifier
1174349906
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RIVERSIDE HOMECARE LLC
Practice address
1531 Riverside Ave Unit B
Fort Collins, CO 80524-4389
Phone
(254) 212-9186
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Phillip Billingsley
Title
Owner
Phone
(254) 212-9186

Specialties & licenses 1

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

Addresses

Primary practice location

1531 Riverside Ave Unit B
Fort Collins, CO 80524-4389

Mailing address

1531 Riverside Ave Unit B
Fort Collins, CO 80524-4389
Phone (254) 212-9186

National Provider Directory

National Provider Directory

Locations

1531 Riverside Ave
Unit B
Fort Collins, CO 80524
Phone (254) 212-9186

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1174349906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 RIVERSIDE AVE UNIT B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244389",
            "telephone_number": "254-212-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 RIVERSIDE AVE UNIT B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244389",
            "telephone_number": "254-212-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-212-9186"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.