Active NPI
Family Home Health LLC
- Home Health Agency
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAMILY HOME HEALTH LLC
- Practice address
- 1650 38TH St Ste 101E
Boulder, CO 80301-2623 - Phone
- (720) 274-5974
- Fax
- (720) 274-5977
- NPI assigned
- Jan 5, 2009
- 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
- Mr. Luther Stanton
- Title
- President
- Phone
- (720) 274-5974
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Day Training/Habilitation Specialist | 373H00000X |
Addresses
Primary practice location
1650 38TH St Ste 101E
Boulder, CO 80301-2623
Mailing address
1650 38TH St Ste 101E
Boulder, CO 80301-2623
Phone (720) 274-5974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43831761 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090122000205 | CO | Part A Provider - Home Health Agency | 9537223409 | Practice locations: Boulder, CO |
Home health agency certification: CCN 067481
- Legal name
- FAMILY HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 13, 2009
- Last certification
- Jul 27, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Oct 31, 2008 in CO
- Enrollment address
- 1650 38TH St
Ste 101E
Boulder, CO 80301-2623
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Craft Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 13, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1790 30th St
Ste 440
Boulder, CO 80301
Phone (720) 274-5974
1650 38th St
Ste 101E
Boulder, CO 80301
Phone (303) 358-6652
1650 30th St
Unit 101E
Boulder, CO 80301
1790 30th St
Ste 350
Boulder, CO 80301
Phone (419) 482-8382
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Luther Dwain Stanton | 5% Or Greater Direct Ownership Interest | Apr 12, 2024 | 100% |
| Corporate Director | Jan 9, 2009 | ||
| W-2 Managing Employee | Jan 9, 2009 | ||
| Carolyn C McGee | Corporate Director | Jan 8, 2009 | |
| Joseph W Stanton | Corporate Officer | Oct 3, 2014 | |
| Corporate Director | Oct 3, 2014 |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- In Home Supportive Care Agency
- Boulder, CO
- NPI 1184201576
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Westminster, CO
- NPI 1922033786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1174769665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 38TH ST STE 101E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012623",
"telephone_number": "720-274-5974",
"fax_number": "720-274-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 38TH ST STE 101E",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012623",
"telephone_number": "720-274-5974",
"fax_number": "720-274-5977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-05",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "STANTON",
"authorized_official_first_name": "LUTHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "720-274-5974",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43831761",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.