Organization Active NPI

Family Home Health LLC

  • Home Health Agency
  • Boulder, CO
National Provider Identifier
1174769665
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 22, 2021

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
43831761MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealthCCN 067481
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 13, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Luther Dwain Stanton Individual 5% Or Greater Direct Ownership Interest Apr 12, 2024 100%
Corporate DirectorPresident Jan 9, 2009
W-2 Managing EmployeePresident Jan 9, 2009
Carolyn C McGee Individual Corporate DirectorBoard Member Jan 8, 2009
Joseph W Stanton Individual Corporate OfficerCfo, Vice Presdient, Board Memeb Oct 3, 2014
Corporate DirectorBoard Member 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.