Organization Active NPI

Zion Selah Home Healthcare Agency LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1477372571
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Mr. Wendemagen Theodore BennettNPI 1457170557
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.