Individual provider Active NPI

Adriana Wani Henderson

  • Personal Care Attendant
  • Aurora, CO
National Provider Identifier
1316279078
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3000 S Jamaica CT Ste 275
Aurora, CO 80014-4604
Phone
(303) 337-4920
Fax
(303) 337-2025
NPI assigned
Feb 5, 2010
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary
Homemaker 376J00000X 10H565 CO

Addresses

Primary practice location

3000 S Jamaica CT Ste 275
Aurora, CO 80014-4604

Mailing address

3000 S Jamaica CT Ste 275
Aurora, CO 80014-4604
Phone (303) 337-4920

Other identifiers 1

IdentifierTypeStateIssuer
9000146693MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10H565COMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Tetrans Home Care LLC Homemaker CurrentSince Aug 7, 2022 Accepting new patients

Locations

3000 S Jamaica Ct
Ste 275
Aurora, CO 80014
Phone (303) 337-4920

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1316279078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S JAMAICA CT STE 275",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144604",
            "telephone_number": "303-337-4920",
            "fax_number": "303-337-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S JAMAICA CT STE 275",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144604",
            "telephone_number": "303-337-4920",
            "fax_number": "303-337-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ADRIANA",
        "middle_name": "WANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CO",
            "license": "10H565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000146693",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.