Colorado Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLORADO HOME HEALTH, LLC

Practice address

1031 Titanite PL
Castle Rock, CO 80108-3076

Phone

(303) 856-6606

NPI assigned

May 9, 2018

Last updated

Nov 20, 2020By 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

Lecia WalkerNPI 1538519152

Title

Member

Phone

(720) 618-2720

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 1437648060. Details of each certification follow.

• CCN 067589 Home health agency · Active · Details

Home health agency certification: CCN 067589

Legal name

COLORADO HOME HEALTH, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 7, 2020

Last certification

Aug 7, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 9, 2018 in CO

Enrollment address

3750 Dacoro LN
Ste 130
Castle Rock, CO 80109-2508

Listed as

LilisareCCN 067589 · All quality measures

Ownership

Proprietary

Certified

Aug 7, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Tax ID family

Colorado Home Health LLC2 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.

• Colorado Home Health, LLC

  • In Home Supportive Care Agency
  • Castle Rock, CO
  • NPI 1881412757
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

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.

• Lecia L Walker

  • Nurse's Aide
  • Castle Rock, CO
  • NPI 1538519152
  NPD Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1437648060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 TITANITE PL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083076",
            "telephone_number": "303-856-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 TITANITE PL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083076",
            "telephone_number": "303-856-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LECIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-618-2720"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.