Active NPI
Four Star Home Care Inc
- In Home Supportive Care Agency
- Denver, CO
National Provider Identifier
1245681741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59971282 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.