Organization Active NPI

Safe Watch, Inc.

  • Home Health Agency
  • Canon City, CO
National Provider Identifier
1275290678
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFE WATCH, INC.
Practice address
1415 N 15TH St
Canon City, CO 81212-4624
Phone
(719) 276-1105
NPI assigned
Nov 19, 2021
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Wayne Joe StockNPI 1417628504
Title
Administrator
Phone
(719) 276-1105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1415 N 15TH St
Canon City, CO 81212-4624

Mailing address

815 Garden Park Rd
Canon City, CO 81212-8315
Phone (719) 276-1105

Other identifiers 1

IdentifierTypeStateIssuer
39284832MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Safe Watch Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1415 N 15th St
Canon City, CO 81212
Phone (719) 275-2034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1275290678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 GARDEN PARK RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128315",
            "telephone_number": "719-276-1105",
            "fax_number": "719-276-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 15TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124624",
            "telephone_number": "719-276-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE WATCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-276-1105"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39284832",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.