Active NPI
Greenhorn Health Services PCT
- Home Health Agency
- Colorado City, CO
National Provider Identifier
1225430622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0001045
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Colorado City, CO
- NPI 1740404581
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.