Organization Active NPI

Greenhorn Health Services PCT

  • Home Health Agency
  • Colorado City, CO
National Provider Identifier
1225430622
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0001045 Issued in CO
Legal business name
GREENHORN HEALTH SERVICES PCT
Practice address
6230 Waco Mish Road
Colorado City, CO 81019
Phone
(719) 240-3128
Fax
(719) 676-2351
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Mr. Frank M. Palcic
Title
General Manager
Phone
(719) 240-3128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0001045 CO Primary

Addresses

Primary practice location

6230 Waco Mish Road
Colorado City, CO 81019

Mailing address

PO Box 19962
6230 Waco Mish Road
Colorado City, CO 81019-0962
Phone (719) 240-3128

Other names 1

  • Nexus Fiduciary Foundation Master Builders PCT Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1225430622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19962",
            "address_2": "6230 WACO MISH ROAD",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "810190962",
            "telephone_number": "719-240-3128",
            "fax_number": "719-676-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 WACO MISH ROAD",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "81019",
            "telephone_number": "719-240-3128",
            "fax_number": "719-676-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHORN HEALTH SERVICES PCT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "PALCIC",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "719-240-3128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "0001045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Fiduciary Foundation Master Builders PCT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.