Cowboy Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COWBOY HOME CARE

Practice address

8895 Indian Village Dr
Wellington, CO 80549-1792

Phone

(970) 449-0854

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By 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

Melissa Kamm

Title

Managing Member

Phone

(970) 449-0854

Specialties & licenses 1

Addresses

Other names 1

• Baker Home Care Former legal business name

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1316556004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805490896",
            "telephone_number": "970-449-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 INDIAN VILLAGE DR",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805491792",
            "telephone_number": "970-449-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWBOY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "KAMM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-449-0854"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lilian Carbonell-Long, LCSW
• Marianne Clegg
• Leanda Kay Coddington, LPTA
• Angela Condit, LCSW
• Waylon Cosner, LPCC
• David J Pringle, DMD PLLC (Wellington Family Dentistry)
• Rebecca Dawson, LMT, FNLP
• DKM, Inc. (Wellington Assisted Living)
• Michelle Janaye Doucet, CPFS, QBHA
• Taylor C Doucet

• In Home Supportive Care Agency in Wellington, CO
• Providers in Wellington, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.