Active NPI
Home Care of Grand Junction LLC
- In Home Supportive Care Agency
- Grand Junction, CO
National Provider Identifier
1215315577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 10H563
- Legal business name
- HOME CARE OF GRAND JUNCTION LLC
- Practice address
- 2764 Compass Dr., Suite 105
Grand Junction, CO 81506-8755 - Phone
- (970) 245-7481
- Fax
- (970) 245-7481
- NPI assigned
- May 7, 2015
- 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
- Ms. Stacie Bratcher
- Title
- Ceo
- Phone
- (817) 349-9050
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 10H563 | CO | Primary |
| In Home Supportive Care Agency | 253Z00000X | 04X818 | CO |
Addresses
Primary practice location
2764 Compass Dr., Suite 105
Grand Junction, CO 81506-8755
Mailing address
2764 Compass Dr., Suite 105
Grand Junction, CO 81506-8755
Phone (970) 245-7481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21281386 | Medicaid | CO |
Other names 1
- Klarus Personal Care
National Provider Directory
National Provider DirectoryLocations
2764 Compass Dr
Ste 105
Grand Junction, CO 81506
Phone (970) 245-7481
1229 N 23rd St
Ste 104
Grand Junction, CO 81501
Phone (970) 283-3820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1215315577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 COMPASS DR., SUITE 105",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068755",
"telephone_number": "970-245-7481",
"fax_number": "970-245-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 COMPASS DR., SUITE 105",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068755",
"telephone_number": "970-245-7481",
"fax_number": "970-245-7481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE OF GRAND JUNCTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-07",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "BRATCHER",
"authorized_official_first_name": "STACIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-349-9050",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CO",
"license": "10H563",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CO",
"license": "04X818",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21281386",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Klarus Personal Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.