Active NPI
Family Home Health LLC
- In Home Supportive Care Agency
- Boulder, CO
National Provider Identifier
1184201576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care 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
- Mar 24, 2021
- Organization subpart
- Yes
- Parent organization
- FAMILY HOME HEALTH LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43831761 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | postmaster@crafthealth.net | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Family Home Health LLC
- 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.
-
- Community Based Hospice Care Agency
- Boulder, CO
- NPI 1114540747
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.
-
- Home Health Agency
- Boulder, CO
- NPI 1174769665
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.