NPIMap

Organization Active NPI

Northwest Colorado Visiting Nurse Association

Doing business as Northwest Colorado Health

  • Community Based Hospice Care Agency
  • Craig, CO
National Provider Identifier
1497358469
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Doing business as
Northwest Colorado Health
Practice address
483 Yampa Ave
Craig, CO 81625-2609
Phone
(970) 871-7629
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST COLORADO VISITING NURSE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Leslee Hurst
Title
Credentialing Specialist
Phone
(970) 871-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

483 Yampa Ave
Craig, CO 81625-2609

Mailing address

745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233

Other names 1

  • Northwest Colorado Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000547 CO Part A Provider - Hospice 3173617883 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Craig, CO; Steamboat Springs, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497358469. Details of each certification follow.

Hospice certification: CCN 061532

Legal name
NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Doing business as
NORTHWEST COLORADO HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 5, 1994
Last certification
Dec 17, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 1964 in CO
Enrollment address
1475 Pine Grove Rd
Ste 202
Steamboat Springs, CO 80487-8851

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Northwest Colorado HealthCCN 061532 · All quality measures
Ownership
Non-Profit
Certified
Oct 5, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
NW Colo Visiting Nurse25 organizations share this tax ID, including this one
Part of
NW Colo Visiting Nurse

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matt Morrill Individual Corporate OfficerCfo May 9, 2022
W-2 Managing EmployeeCfo May 9, 2022
Victoria Klohr Individual Corporate DirectorBoard Member Nov 30, 2022
Lynn Dubinsky Individual Corporate DirectorBoard Member Oct 1, 2025
James David Park Individual Corporate DirectorBoard Member Sep 30, 2022
Elizabeth Plummer Individual Corporate DirectorBoard Member Oct 26, 2022
Rosalind D Leaming Individual Corporate DirectorBoard Member Oct 31, 2021
Arin Daigneau Individual Corporate OfficerCoo Oct 1, 2024
Erin Wilson Individual Corporate DirectorBoard Member Nov 30, 2020
Rebecca Lewis Individual Corporate DirectorBoard Member Nov 30, 2020
Erika Murphy Individual Corporate DirectorBoard Member Nov 30, 2022
Stephanie Einfeld Individual Corporate OfficerChief Executive Officer Feb 16, 2018
Corporate DirectorChief Executive Officer Feb 16, 2018
W-2 Managing EmployeeChief Executive Officer Feb 16, 2018
Jesse Arthurs Individual Corporate DirectorBoard Member Aug 28, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1497358469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 YAMPA AVE",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252609",
            "telephone_number": "970-871-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COLORADO VISITING NURSE ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COLORADO VISITING NURSE ASSOCIATION",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "970-871-7680"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Colorado Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.