NPIMap

Organization Active NPI

Haaksma Speech Pathology, LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1376876748
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04J985 Issued in CO
Legal business name
HAAKSMA SPEECH PATHOLOGY, LLC
Practice address
2821 S Parker Rd Ste 615
Aurora, CO 80014-2711
Phone
(303) 755-3170
Fax
(033) 755-3217
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Arthur Lowry
Title
Ceo
Phone
(033) 755-3170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04J985 CO Primary

Addresses

Primary practice location

2821 S Parker Rd Ste 615
Aurora, CO 80014-2711

Mailing address

2821 S Parker Rd Ste 615
Aurora, CO 80014-2711
Phone (303) 840-6374

Other identifiers 1

IdentifierTypeStateIssuer
41750128MedicaidCO

National Provider Directory

National Provider Directory

Locations

11479 Pine Dr
Ste 1
Parker, CO 80134
Phone (303) 840-6374

11479 Pine Dr
#1
Parker, CO 80134
Phone (303) 840-6374

11479 Pine Dr
#28
Parker, CO 80134
Phone (303) 919-6799

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1376876748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S PARKER RD STE 615",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142711",
            "telephone_number": "303-840-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S PARKER RD STE 615",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142711",
            "telephone_number": "303-755-3170",
            "fax_number": "033-755-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAAKSMA SPEECH PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "033-755-3170"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04J985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41750128",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.