Organization Active NPI

Aspen Valley Home Health LLC

  • Home Health Agency
  • Aspen, CO
National Provider Identifier
1184219396
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASPEN VALLEY HOME HEALTH LLC
Practice address
133 Prospector Rd Ste 4102T
Aspen, CO 81611-3389
Phone
(631) 235-7559
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Henry Wallace
Title
Owner
Phone
(631) 235-7559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

133 Prospector Rd Ste 4102T
Aspen, CO 81611-3389

Mailing address

133 Prospector Rd Ste 4102T
Aspen, CO 81611-3389
Phone (631) 235-7559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1184219396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PROSPECTOR RD STE 4102T",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816113389",
            "telephone_number": "631-235-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PROSPECTOR RD STE 4102T",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816113389",
            "telephone_number": "631-235-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN VALLEY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-235-7559"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.