Atmans Colorado Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATMANS COLORADO HEALTH CARE LLC

Practice address

1776 S Jackson St Ste 480
Denver, CO 80210-3805

Phone

(303) 656-9966

NPI assigned

Sep 12, 2022

Last updated

Oct 16, 2022By 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

Alex Gonie

Title

Managing Member

Phone

(626) 272-5484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376265975. Details of each certification follow.

• CCN 067632 Home health agency · Active · Details

Home health agency certification: CCN 067632

Legal name

ATMANS COLORADO HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 16, 2023

Last certification

Jul 20, 2023

Organization structure

LLCProprietary

Incorporated

Sep 16, 2021 in CO

Enrollment address

1776 S Jackson St
Ste 480
Denver, CO 80210-3805

Listed as

Atmans Colorado Health Care LLCCCN 067632 · All quality measures

Ownership

-

Certified

Aug 16, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665878400000",
    "number": "1376265975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21229 E PRINCETON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800137447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST STE 480",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103805",
            "telephone_number": "303-656-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATMANS COLORADO HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "GONIE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "626-272-5484"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.