Organization Active NPI

Ohana Love Homecare Agency LLC

  • In Home Supportive Care Agency
  • Peyton, CO
National Provider Identifier
1295490241
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OHANA LOVE HOMECARE AGENCY LLC
Practice address
10788 Shavano Peak CT
Peyton, CO 80831-4472
Phone
(719) 374-5730
NPI assigned
Nov 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Desmond Boateng
Title
Owner
Phone
(719) 374-5730

Specialties & licenses 1

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

Addresses

Primary practice location

10788 Shavano Peak CT
Peyton, CO 80831-4472

Mailing address

10788 Shavano Peak CT
Peyton, CO 80831-4472
Phone (719) 374-5730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1295490241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10788 SHAVANO PEAK CT",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314472",
            "telephone_number": "719-374-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10788 SHAVANO PEAK CT",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314472",
            "telephone_number": "719-374-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA LOVE HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-374-5730"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.