NPIMap

Organization Active NPI

Berkley Home Health Care Systems, LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1225135403
Registry record updated Oct 1, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04049F Issued in CO
Legal business name
BERKLEY HOME HEALTH CARE SYSTEMS, LLC
Practice address
10697 E Dartmouth Ave
Aurora, CO 80014-2616
Phone
(303) 758-2000
Fax
(303) 758-2009
NPI assigned
Sep 20, 2006
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Mrs. Michelle Donnay, ESQ.
Title
Cfo
Phone
(303) 758-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04049F CO Primary
Durable Medical Equipment & Medical Supplies 332B00000X 67687326 CO

Addresses

Primary practice location

10697 E Dartmouth Ave
Aurora, CO 80014-2616

Mailing address

10697 E Dartmouth Ave
Aurora, CO 80014-2616
Phone (303) 758-2000

Other identifiers 2

IdentifierTypeStateIssuer
40251276MedicaidCO
67687326MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000232 CO Part A Provider - Home Health Agency 5193757938 Practice locations: Aurora, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225135403. Details of each certification follow.

Home health agency certification: CCN 067407

Legal name
BERKLEY HOME HEALTH CARE SYSTEMS, LLC
Doing business as
BERKLEY HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 26, 1999
Last certification
Jul 10, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 2, 1998 in CO
Enrollment address
10697E Dartmouth Ave
Aurora, CO 80014-2616

Care Compare: Home health agency

Medicare Care Compare
Listed as
Berkley Home HealthCCN 067407 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 26, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Joanne D Benson Individual W-2 Managing EmployeeRehab Supervisor Jun 1, 2021 5%
Michelle Donnay Individual 5% Or Greater Direct Ownership InterestCfo Jan 1, 2021 50%
Corporate OfficerCfo Jul 28, 2020
W-2 Managing EmployeeCfo Apr 26, 2000
Operational/Managerial ControlCfo Apr 26, 2000
Kimberly a Malouff-Reynolds Individual W-2 Managing EmployeeAssistant Director of Nursing Mar 4, 2024 5%
Julie L Anderson Individual W-2 Managing EmployeeRehab Supervisor Jan 29, 2018 5%
Rebecca Margie Chavez Individual W-2 Managing EmployeeDirector of Clinical Services Mar 10, 2026 5%
Annette Ketterling Individual W-2 Managing EmployeeAdministrator Jul 28, 2020
Kathrine Thibodeaux Individual W-2 Managing EmployeeDirector of Compliance Jun 22, 2021 5%
Gary Ruvins Individual 5% Or Greater Direct Ownership InterestOperations Manager Jan 1, 2021 50%
W-2 Managing EmployeeOperations Manager Sep 2, 1998
Operational/Managerial ControlOperations Manager Sep 2, 1998

Practitioners & affiliated clinicians

Affiliated clinicians 176

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 176

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1225135403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10697 E DARTMOUTH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142616",
            "telephone_number": "303-758-2000",
            "fax_number": "303-758-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10697 E DARTMOUTH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142616",
            "telephone_number": "303-758-2000",
            "fax_number": "303-758-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKLEY HOME HEALTH CARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "DONNAY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-758-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04049F",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "67687326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40251276",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67687326",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.