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
- Last updated
- Mar 22, 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
- 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
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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174769665. Details of each certification follow.
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
1650 30th St
Unit 101E
Boulder, CO 80301
1790 30th St
Ste 350
Boulder, CO 80301
Phone (419) 482-8382
1790 30th St
Ste 440
Boulder, CO 80301
Phone (303) 442-3755
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, and the practitioner matching its NPPES authorized official.
-
- 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": [],
"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.