Active NPI
Bella Vista Therapy Group, Inc.
- Home Health Agency
- Thornton, CO
National Provider Identifier
1346597671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 12018641
- Legal business name
- BELLA VISTA THERAPY GROUP, INC.
- Practice address
- 13965 Hudson St
Thornton, CO 80602-7834 - Phone
- (303) 808-8985
- NPI assigned
- Aug 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Olivia O Eppe, M.A., CCC-SLP
- Title
- Speech-Language Pathologist/Owner
- Phone
- (303) 808-8985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 12018641 | CO | Primary |
Addresses
Primary practice location
13965 Hudson St
Thornton, CO 80602-7834
Mailing address
13965 Hudson St
Thornton, CO 80602-7834
Phone (303) 808-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1346597671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13965 HUDSON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027834",
"telephone_number": "303-808-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13965 HUDSON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027834",
"telephone_number": "303-808-8985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLA VISTA THERAPY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "EPPE",
"authorized_official_first_name": "OLIVIA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
"authorized_official_telephone_number": "303-808-8985",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A., CCC-SLP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "12018641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.