NPIMap

Organization Active NPI

Kidscare Therapy of Colorado, LLC

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1346781713
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
000000 Issued in CO
Legal business name
KIDSCARE THERAPY OF COLORADO, LLC
Practice address
3801 E Florida Ave Ste 917
Denver, CO 80210-2549
Phone
(844) 757-7450
Fax
(855) 715-3504
NPI assigned
Mar 17, 2017
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Ms. Kelly Kaskavage
Title
Director of Compliance
Phone
(214) 575-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 000000 CO Primary

Addresses

Primary practice location

3801 E Florida Ave Ste 917
Denver, CO 80210-2549

Mailing address

4201 Spring Valley Rd Ste 600
Dallas, TX 75244-3631
Phone (866) 919-3240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170712000237 CO Part A Provider - Home Health Agency 8022387760 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346781713. Details of each certification follow.

Home health agency certification: CCN 067567

Legal name
KIDSCARE THERAPY OF COLORADO LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 13, 2017
Last certification
Sep 25, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 24, 2017 in CO
Enrollment address
3801 E Florida Ave
Ste 917
Denver, CO 80210-2549

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kidscare Therapy of Colorado LLCCCN 067567 · All quality measures
Ownership
Proprietary
Certified
Dec 13, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2261549Kidscare Therapy of Colorado LLC3801 East Florida Ave, NBR 917, Denver, CO 80210Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3801 E Florida Ave
Ste 917
Denver, CO 80210
Phone (844) 757-7450

4495 Hale Pkwy
Ste 305
Denver, CO 80220
Phone (719) 257-8754

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Michal Roget Individual W-2 Managing EmployeeVP - Administrator Jan 24, 2017
Operational/Managerial ControlVP - Administrator Jan 24, 2017
TMS-CJ Holdings, LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Cortney Baker Individual 5% Or Greater Indirect Ownership Interest Jan 24, 2017 100%
Corporate OfficerCeo Jan 24, 2017 100%
Therapy Management Services LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 24, 2017 100%
Operational/Managerial Control Jan 24, 2017 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1346781713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SPRING VALLEY RD STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443631",
            "telephone_number": "866-919-3240",
            "fax_number": "877-300-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 917",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102549",
            "telephone_number": "844-757-7450",
            "fax_number": "855-715-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCARE THERAPY OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "KASKAVAGE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "214-575-2999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.