Organization Active NPI

Integrated Homecare Services

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1417747650
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTEGRATED HOMECARE SERVICES
Practice address
562 Sable Blvd Ste 150
Aurora, CO 80011-0809
Phone
(720) 770-1725
Fax
(720) 343-4177
NPI assigned
May 9, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Mariamawit Desta
Title
Administrator/Owner
Phone
(720) 770-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

562 Sable Blvd Ste 150
Aurora, CO 80011-0809

Mailing address

7565 S Franklin Way
Centennial, CO 80122-3111

National Provider Directory

National Provider Directory

Locations

562 Sable Blvd
Ste 150
Aurora, CO 80011
Phone (678) 755-5601

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1417747650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 S FRANKLIN WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SABLE BLVD STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800110809",
            "telephone_number": "720-770-1725",
            "fax_number": "720-343-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "MARIAMAWIT",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "720-770-1725"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2025; 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.