Organization Active NPI

Hildebrand Homecare, Inc.

  • Home Health Agency
  • Canon City, CO
National Provider Identifier
1548227556
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HILDEBRAND HOMECARE, INC.
Practice address
1350 Bauer LN
Canon City, CO 81212-4686
Phone
(719) 276-3010
Fax
(719) 204-0011
NPI assigned
Apr 26, 2006
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Thecla Yeoman
Title
Director
Phone
(719) 276-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1350 Bauer LN
Canon City, CO 81212-4686

Mailing address

1350 Bauer LN
Canon City, CO 81212-4686

Other identifiers 1

IdentifierTypeStateIssuer
99054787MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Hildebrand Home Care - Salida3 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.

Locations

1350 Bauer Ln
Canon City, CO 81212
Phone (719) 276-3010

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1548227556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BAUER LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BAUER LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124686",
            "telephone_number": "719-276-3010",
            "fax_number": "719-204-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDEBRAND HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "YEOMAN",
        "authorized_official_first_name": "THECLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-276-3010"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99054787",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.