Colorado Family Caregivers Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLORADO FAMILY CAREGIVERS HOME HEALTH LLC

Practice address

10475 Elizabeth Way
Colorado Springs, CO 80908-1579

Phone

(303) 898-9724

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Marti Perkins

Title

Sole Member LLC

Phone

(720) 456-8087

Specialties & licenses 1

Addresses

Other names 1

• Colorado Family Caregivers Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067601

Legal name

COLORADO FAMILY CAREGIVERS HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 22, 2021

Last certification

Jun 22, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 22, 2020 in CO

Enrollment address

10475 Elizabeth Way
Colorado Springs, CO 80908-1579

Listed as

Colorado Family Caregivers Home Health LLCCCN 067601

Ownership

Proprietary

Certified

Jun 22, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1215520895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 ELIZABETH WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809081579",
            "telephone_number": "303-898-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 ELIZABETH WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809081579",
            "telephone_number": "303-898-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY CAREGIVERS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MARTI",
        "authorized_official_title_or_position": "SOLE MEMBER LLC",
        "authorized_official_telephone_number": "720-456-8087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Family Caregivers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Family Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.