Organization Active NPI

Lark Home Care Inc.

  • In Home Supportive Care Agency
  • Arvada, CO
National Provider Identifier
1437691193
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
04S549 Issued in CO
Legal business name
LARK HOME CARE INC.
Practice address
12500 W 58TH Ave
Unit 103
Arvada, CO 80002-1103
Phone
(303) 423-0728
Fax
(303) 423-0898
NPI assigned
Nov 12, 2016
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Svetlana Hopcus
Title
Administrator
Phone
(303) 423-0728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X 04S549 CO Primary

Addresses

Primary practice location

12500 W 58TH Ave
Unit 103
Arvada, CO 80002-1103

Mailing address

12500 W 58TH Ave
Unit 103
Arvada, CO 80002-1103
Phone (303) 423-0728

Other identifiers 2

IdentifierTypeStateIssuer
56700059MedicaidCO
9000103270MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1437691193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE",
            "address_2": "UNIT 103",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021103",
            "telephone_number": "303-423-0728",
            "fax_number": "303-423-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 W 58TH AVE",
            "address_2": "UNIT 103",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021103",
            "telephone_number": "303-423-0728",
            "fax_number": "303-423-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARK HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-12",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "HOPCUS",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-423-0728"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04S549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56700059",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000103270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.