NPIMap

Organization Active NPI

Colorado Skilled Home Care, LLC

  • Case Management Agency
  • Denver, CO
National Provider Identifier
1497214852
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COLORADO SKILLED HOME CARE, LLC
Practice address
2345 S Federal Blvd
Denver, CO 80219-5435
Phone
(509) 570-2571
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Derek Martin
Title
Director
Phone
(509) 570-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2345 S Federal Blvd
Denver, CO 80219-5435

Mailing address

2345 S Federal Blvd
Denver, CO 80219-5435
Phone (509) 570-2571

National Provider Directory

National Provider Directory
Tax ID family
Colorado Skilled Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1497214852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195435",
            "telephone_number": "509-570-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195435",
            "telephone_number": "509-570-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SKILLED HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-570-2571"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.