NPIMap

Organization Active NPI

Mission Health Care Services

  • Home Health Agency
  • Centennial, CO
National Provider Identifier
1336525153
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MISSION HEALTH CARE SERVICES
Doing business as
Mission Home Health
Practice address
12835 E Arapahoe Rd Ste 400
Centennial, CO 80112-3940
Phone
(303) 708-1122
Fax
(303) 708-1121
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Al Abraham
Title
Owner
Phone
(858) 866-4692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12835 E Arapahoe Rd Ste 400
Centennial, CO 80112-3940

Mailing address

12835 E Arapahoe Rd Ste 400
Centennial, CO 80112-3940
Phone (303) 708-1122

Other names 1

  • Mission Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221000339 CO Part A Provider - Home Health Agency 2163731431 Practice locations: Centennial, CO

Home health agency certification: CCN 067554

Legal name
MISSION HEALTH CARE SERVICES
Doing business as
MISSION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 15, 2017
Last certification
Nov 15, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
12835 E Arapahoe Rd
Tower 1 Ste 400
Centennial, CO 80112-3940

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home HealthCCN 067554
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 15, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Mission Health Care Services3 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.

Locations

12835 E Arapahoe Rd
Ste 1-400
Centennial, CO 80112

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Al Hamid Abraham Individual 5% Or Greater Direct Ownership InterestAlt Administrator Jun 28, 2015 100%
W-2 Managing EmployeeAlt Administrator Jun 28, 2015
Rebecca B O'Donnell Individual W-2 Managing EmployeeAdministrator Nov 1, 2015

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1336525153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD STE 400",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "303-708-1122",
            "fax_number": "303-708-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD STE 400",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "303-708-1122",
            "fax_number": "303-708-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-866-4692"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.