NPIMap

Organization Active NPI

Sangre de Cristo Community Care Canon City

  • Home Health Agency
  • Canon City, CO
National Provider Identifier
1376259697
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANGRE DE CRISTO COMMUNITY CARE CANON CITY
Practice address
601 Greenwood Ave Ste B
Canon City, CO 81212-3337
Phone
(719) 275-1261
Fax
(719) 275-3754
NPI assigned
Jan 30, 2023
Organization subpart
Yes
Parent organization
SANGRE DE CRISTO COMMUNITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Janell Solomon
Title
Director of Compliance
Phone
(719) 542-0032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

601 Greenwood Ave Ste B
Canon City, CO 81212-3337

Mailing address

1920 Valley Dr
Pueblo, CO 81008-1764
Phone (719) 542-0032

National Provider Directory

National Provider Directory
Tax ID family
Sangre de Cristo Community Care4 organizations share this tax ID, including this one
Part of
Sangre de Cristo Community Care

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1376259697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 VALLEY DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081764",
            "telephone_number": "719-542-0032",
            "fax_number": "719-542-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GREENWOOD AVE STE B",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123337",
            "telephone_number": "719-275-1261",
            "fax_number": "719-275-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGRE DE CRISTO COMMUNITY CARE CANON CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANGRE DE CRISTO COMMUNITY CARE",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "719-542-0032"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.