Active NPI
Dominican Home Health Agency, Inc.
- Community Based Hospice Care Agency
- Greenwood Village, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- DOMINICAN HOME HEALTH AGENCY, INC.
- Practice address
- 6160 S Syracuse Way Ste 250
Greenwood Village, CO 80111-4762 - Phone
- (303) 322-1413
- Fax
- (303) 322-2702
- NPI assigned
- Apr 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Owens
- Title
- Ceo
- Phone
- (720) 770-8465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6160 S Syracuse Way Ste 250
Greenwood Village, CO 80111-4762
Mailing address
6160 S Syracuse Way Ste 250
Greenwood Village, CO 80111-4762
Phone (303) 322-1413
Other names 1
- Emmaus Catholic Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230628003076 | CO | Part A Provider - Hospice | 4688894926 | Practice locations: Greenwood Village, CO |
Hospice certification: CCN 061629
- Legal name
- DOMINICAN HOME HEALTH AGENCY INC
- Doing business as
- EMMAUS CATHOLIC HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 13, 2023
- Last certification
- Oct 13, 2023
- Ownership / control type
- Non-Profit - Church
- Organization structure
- Corporation
- Incorporated
- Feb 24, 1989 in CO
- Enrollment address
- 6160 S Syracuse Way
Ste 250
Greenwood Village, CO 80111-4762
Care Compare: Hospice
Medicare Care Compare- Listed as
- Emmaus Catholic Hospice
- Certified
- Oct 13, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2238145 | Dominican Home Health Agency | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Dominican Home Health Agency Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Denver, CO
- NPI 1770998544
Locations
5290 E Yale Cir
Ste 100
Denver, CO 80222
6160 S Syracuse Way
Ste 250
Greenwood Village, CO 80111
Phone (303) 322-1413
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Brian a Macaulay | Corporate Director | Apr 12, 2023 | 8% |
| Alan Rastrelli | Corporate Director | Apr 12, 2023 | 8% |
| John Kelly | Corporate Director | Apr 12, 2023 | 8% |
| Louis Morrone | Corporate Director | Apr 12, 2023 | 8% |
| Katrin Rothgery | Corporate Director | Apr 12, 2023 | 8% |
| Victoria Owens | Corporate Officer | Apr 12, 2023 | 18% |
| W-2 Managing Employee | Apr 12, 2023 | 50% | |
| David Wright | Corporate Director | Apr 12, 2023 | 8% |
| Lynn Grandon | Corporate Director | Oct 1, 2023 | 8% |
| Susan Swanson | W-2 Managing Employee | Sep 1, 2023 | 10% |
| Lyle Klimesh | Corporate Director | Jun 1, 2024 | 8% |
| Kelly Kozeliski | Corporate Director | May 12, 2023 | 18% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Denver, CO
- NPI 1043354764
-
- Emergency Medicine Physician
- Aurora, CO
- NPI 1588763676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1467149245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 S SYRACUSE WAY STE 250",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114762",
"telephone_number": "303-322-1413",
"fax_number": "303-322-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 S SYRACUSE WAY STE 250",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114762",
"telephone_number": "303-322-1413",
"fax_number": "303-322-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINICAN HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-770-8465"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emmaus Catholic Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.