Individual provider Active NPI

Alexander Kaminskiy

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1194269928
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10R342 Issued in CO
Practice address
10200 E Girard Ave
Suite C350
Denver, CO 80231-5500
Phone
(720) 858-9200
Fax
(303) 364-8560
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10R342 CO Primary

Addresses

Primary practice location

10200 E Girard Ave
Suite C350
Denver, CO 80231-5500

Mailing address

10200 E Girard Ave
Suite C350
Denver, CO 80231-5500
Phone (720) 858-9200

Other identifiers 1

IdentifierTypeStateIssuer
65702816MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10R342COMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Artek Personal Home Health Care, Inc Home Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1194269928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "SUITE C350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315500",
            "telephone_number": "720-858-9200",
            "fax_number": "303-364-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "SUITE C350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315500",
            "telephone_number": "720-858-9200",
            "fax_number": "303-364-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKIY",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "10R342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65702816",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.