Organization Active NPI

Wellness Way Inc

Doing business as AMI-Wellness Home Health

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1427053230
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0404MV Issued in CO
Legal business name
WELLNESS WAY INC
Doing business as
AMI-Wellness Home Health
Practice address
1385 S Colorado Blvd Ste 306
Denver, CO 80222-3365
Phone
(303) 722-2208
Fax
(303) 722-4411
NPI assigned
Jun 17, 2005
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Mr. Christopher M Maestas
Title
Gen MGR
Phone
(303) 722-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0404MV CO Primary

Addresses

Primary practice location

1385 S Colorado Blvd Ste 306
Denver, CO 80222-3365

Mailing address

1385 S Colorado Blvd
Ste 306
Denver, CO 80222-3304
Phone (303) 722-2208

Other names 1

  • AMI-Wellness Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000800 CO Part A Provider - Home Health Agency 8527024835 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427053230. Details of each certification follow.

Home health agency certification: CCN 067254

Legal name
WELLNESS WAY INC
Doing business as
AMI-WELLNESS HOME HEALTH SVCS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 1995
Last certification
Oct 24, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 22, 1995 in CO
Enrollment address
1385 S Colorado Blvd
Ste 306
Denver, CO 80222-3315

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ami - WellnessCCN 067254 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 17, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Wellness Way Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1385 S Colorado Blvd
Ste 306
Denver, CO 80222
Phone (303) 722-2208

2255 S Broadway
Denver, CO 80210
Phone (303) 372-2208

3955 E Exposition Ave
Ste 501
Denver, CO 80209
Phone (303) 358-1293

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Kris a Bode Individual W-2 Managing EmployeeAdministrator Jun 1, 2008
Lance H Farrell Individual 5% Or Greater Indirect Ownership Interest Aug 23, 2004 100%
Corporate OfficerPresident Aug 23, 2004
Corporate DirectorCeo/ Board President Aug 23, 2004
Mid Century Investments Inc Organization, Conroe, TX For-profit 5% Or Greater Direct Ownership Interest Aug 23, 2004 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1427053230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S COLORADO BLVD",
            "address_2": "STE 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223304",
            "telephone_number": "303-722-2208",
            "fax_number": "303-722-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S COLORADO BLVD STE 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223365",
            "telephone_number": "303-722-2208",
            "fax_number": "303-722-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GEN MGR",
        "authorized_official_telephone_number": "303-722-2208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "0404MV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMI-Wellness Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMI-Wellness Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.