Organization Active NPI

Pasco/SW Inc

Doing business as PASCO/SW Home Health

  • Home Health Agency
  • Cortez, CO
National Provider Identifier
1508816224
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PASCO/SW INC
Doing business as
PASCO/SW Home Health
Practice address
45 S Washington St
Cortez, CO 81321-3737
Phone
(970) 565-6833
Fax
(970) 564-8057
NPI assigned
May 11, 2006
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Ms. Yvette Tanner
Title
Ceo
Phone
(970) 565-6833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

45 S Washington St
Cortez, CO 81321-3737

Mailing address

45 S Washington St
Cortez, CO 81321-3737
Phone (970) 565-6833

Other identifiers 2

IdentifierTypeStateIssuer
06259588MedicaidCO
09559787MedicaidCO

Other names 1

  • PASCO/SW Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

45 S Washington St
Cortez, CO 81321
Phone (970) 565-6833

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2021 Change of OwnershipThis provider was the seller Pasco/SW Home HealthCCN 067339, CO, NPI 1811581853

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1508816224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S WASHINGTON ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213737",
            "telephone_number": "970-565-6833",
            "fax_number": "970-564-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S WASHINGTON ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213737",
            "telephone_number": "970-565-6833",
            "fax_number": "970-564-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO/SW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-565-6833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06259588",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09559787",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASCO/SW Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.