Organization Active NPI

Family Home Health LLC

  • In Home Supportive Care Agency
  • Boulder, CO
National Provider Identifier
1184201576
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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
Mar 24, 2021
Organization subpart
Yes
Parent organization
FAMILY HOME HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Luther Dwain Stanton
Title
President
Phone
(720) 274-5974

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL postmaster@crafthealth.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Family Home Health LLC2 organizations share this tax ID, including this one
Part of
Family Home Health LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1184201576",
    "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": "YES",
        "parent_organization_legal_business_name": "FAMILY HOME HEALTH LLC",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "DWAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-274-5974"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43831761",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "postmaster@crafthealth.net",
            "affiliation": "N",
            "endpointDescription": "secure data files",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "1650 38th St Ste 101E",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803012623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 16, 2021; 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.