Organization Active NPI

Four Star Home Care Inc

  • In Home Supportive Care Agency
  • Denver, CO
National Provider Identifier
1245681741
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOUR STAR HOME CARE INC
Practice address
6795 E Tennessee Ave Ste 429
Denver, CO 80224-1709
Phone
(720) 404-6370
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Verginia Davtyan
Title
Owner
Phone
(720) 404-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CO Primary

Addresses

Primary practice location

6795 E Tennessee Ave Ste 429
Denver, CO 80224-1709

Mailing address

6795 E Tennessee Ave Ste 429
Denver, CO 80224-1709

Other identifiers 1

IdentifierTypeStateIssuer
59971282MedicaidCO

National Provider Directory

National Provider Directory

Locations

6795 E Tennessee Ave
Ste 429
Denver, CO 80224
Phone (720) 404-6370

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1245681741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 429",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 429",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241709",
            "telephone_number": "720-404-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR STAR HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "VERGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-404-6370"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59971282",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "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 Jun 27, 2016; 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.