Active NPI
Zion Selah Home Healthcare Agency LLC
- Home Health Agency
- Aurora, CO
National Provider Identifier
1477372571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ZION SELAH HOME HEALTHCARE AGENCY LLC
- Practice address
- 2821 S Parker Rd Ste 2-1017
Aurora, CO 80014-2735 - Phone
- (616) 644-8235
- NPI assigned
- Oct 7, 2024
- 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
- Mr. Wendemagen Theodore Bennett
- Title
- Administrator and Owner
- Phone
- (616) 644-8235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
2821 S Parker Rd Ste 2-1017
Aurora, CO 80014-2735
Mailing address
2821 S Parker Rd Ste 1017
Aurora, CO 80014-2714
Phone (616) 644-8235
National Provider Directory
National Provider DirectoryLocations
2821 S Parker Rd
Ste 21017
Aurora, CO 80014
Phone (616) 644-8235
2821 S Parker Rd
Ste 1017
Aurora, CO 80014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Home Administrator
- Aurora, CO
- NPI 1457170557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1477372571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 S PARKER RD STE 1017",
"city": "AURORA",
"state": "CO",
"postal_code": "800142714",
"telephone_number": "616-644-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 S PARKER RD STE 2-1017",
"city": "AURORA",
"state": "CO",
"postal_code": "800142735",
"telephone_number": "616-644-8235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZION SELAH HOME HEALTHCARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-07",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "WENDEMAGEN",
"authorized_official_middle_name": "THEODORE",
"authorized_official_title_or_position": "ADMINISTRATOR AND OWNER",
"authorized_official_telephone_number": "616-644-8235",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 27, 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.