Active NPI
Phase 3 Home Care Corporation
- Case Manager/Care Coordinator
- Denver, CO
National Provider Identifier
1235872276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- PHASE 3 HOME CARE CORPORATION
- Practice address
- 700 Colorado Blvd # 422
Denver, CO 80206-4084 - Phone
- (720) 917-5641
- NPI assigned
- Apr 18, 2022
- 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
- Robin Undean Blagg-Stenberg
- Title
- Ceo
- Phone
- (720) 917-5641
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Maintenance Organization | 302R00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Hearing Aid Equipment | 332S00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
700 Colorado Blvd # 422
Denver, CO 80206-4084
Mailing address
700 Colorado Blvd # 422
Denver, CO 80206-4084
Phone (720) 917-5641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O479952 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Computer | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
700 N Colorado Blvd
#422
Denver, CO 80206
Phone (720) 917-5641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1235872276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 COLORADO BLVD # 422",
"city": "DENVER",
"state": "CO",
"postal_code": "802064084",
"telephone_number": "720-917-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COLORADO BLVD # 422",
"city": "DENVER",
"state": "CO",
"postal_code": "802064084",
"telephone_number": "720-917-5641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHASE 3 HOME CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "BLAGG-STENBERG",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "UNDEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-917-5641"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O479952",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "SMS Messaging",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "URL",
"address_1": "700 Colorado Blvd # 422",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802064084",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.