Organization Active NPI

Freedom Trail Enterprises Inc.

  • In Home Supportive Care Agency
  • Delta, CO
National Provider Identifier
1568690295
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FREEDOM TRAIL ENTERPRISES INC.
Doing business as
Homewatch Caregivers of Western Colorado
Practice address
361 Palmer St
Delta, CO 81416-1735
Phone
(970) 874-1400
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Tracey Quist
Title
Owner
Phone
(970) 874-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

361 Palmer St
Delta, CO 81416-1735

Mailing address

361 Palmer St
Delta, CO 81416-1735

Other names 1

  • Homewatch Caregivers of Western Colorado Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1568690295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 PALMER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 PALMER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161735",
            "telephone_number": "970-874-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM TRAIL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "QUIST",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-874-1400"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch Caregivers of Western Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.