Active NPI
Stillwater Ihss Limited
- In Home Supportive Care Agency
- Aurora, CO
National Provider Identifier
1205344280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- STILLWATER IHSS LIMITED
- Practice address
- 10660 E Bethany Dr Ofc 26
Aurora, CO 80014-2602 - Phone
- (303) 753-7577
- Fax
- (719) 466-6172
- NPI assigned
- Jan 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irina Gavrilov
- Title
- Ceo
- Phone
- (720) 298-9080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
10660 E Bethany Dr Ofc 26
Aurora, CO 80014-2602
Mailing address
10660 E Bethany Dr Ofc 26
Aurora, CO 80014-2602
Phone (303) 753-7577
National Provider Directory
National Provider DirectoryLocations
10660 E Bethany Dr
Ofc 26
Aurora, CO 80014
Phone (303) 753-7577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615852800000",
"number": "1205344280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10660 E BETHANY DR OFC 26",
"city": "AURORA",
"state": "CO",
"postal_code": "800142602",
"telephone_number": "303-753-7577",
"fax_number": "719-466-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10660 E BETHANY DR OFC 26",
"city": "AURORA",
"state": "CO",
"postal_code": "800142602",
"telephone_number": "303-753-7577",
"fax_number": "719-466-6172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILLWATER IHSS LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-12",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A",
"authorized_official_last_name": "GAVRILOV",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-298-9080"
},
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.