Organization Active NPI

Home Care of Grand Junction LLC

  • In Home Supportive Care Agency
  • Grand Junction, CO
National Provider Identifier
1215315577
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10H563 Issued in CO
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

Updated by the provider on Apr 22, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21281386MedicaidCO

Other names 1

  • Klarus Personal Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.