Amaris Home Health Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMARIS HOME HEALTH CARE AGENCY

Practice address

11059 E Bethany Dr Ste 105
Aurora, CO 80014-2617

Phone

(720) 502-6355

Fax

(303) 200-7135

NPI assigned

Oct 25, 2018

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gormah Pinky Kolleh

Title

Owner

Phone

(720) 535-8578

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316414576. Details of each certification follow.

• CCN 067602 Home health agency · Active · Details

Home health agency certification: CCN 067602

Legal name

AMARIS HOME HEALTH CARE AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 24, 2021

Last certification

Jul 24, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 24, 2018 in CO

Enrollment address

11059 E Bethany Dr
Ste 105
Aurora, CO 80014-2617

Listed as

Amaris Home Health Care AgencyCCN 067602 · All quality measures

Ownership

Proprietary

Certified

Jul 24, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Amaris Home Health Care Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Amaris Home Health Care Agency

  • Homemaker
  • Aurora, CO
  • NPI 1871059865
  NPD tax ID
• Amaris Hospice Care

  • Community Based Hospice Care Agency
  • Aurora, CO
  • NPI 1699447896
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1316414576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 105",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142617",
            "telephone_number": "720-502-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 105",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142617",
            "telephone_number": "720-502-6355",
            "fax_number": "303-200-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARIS HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KOLLEH",
        "authorized_official_first_name": "GORMAH",
        "authorized_official_middle_name": "PINKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-535-8578"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy W Amara, MD, PHD
• Christopher T Amaral, P.A.
• Mungunzul Amarbayan, MD
• Meried Amare
• Amaris Assisted Living LLC
• Amaris Home Health Care Agency
• Amaris Hospice Care
• Maria Laura Amaya, MD
• Amazing Care Home Health Services, LLC
• Amazing Care Home Health Services, LLC

• Home Health Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.