Organization Active NPI

Voyager Home Health Care LLC

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1578013017
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04D465 Issued in CO
Legal business name
VOYAGER HOME HEALTH CARE LLC
Practice address
2233 Academy PL Ste 105
Colorado Springs, CO 80909-1696
Phone
(719) 722-4516
Fax
(877) 337-4318
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mr. Richard Gallion
Title
Owner
Phone
(719) 722-4516

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04D465 CO Primary
Respite Care 385H00000X

Addresses

Primary practice location

2233 Academy PL Ste 105
Colorado Springs, CO 80909-1696

Mailing address

2233 Academy PL Ste 105
Colorado Springs, CO 80909-1696
Phone (719) 722-4516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930001195 CO Part A Provider - Home Health Agency 7517240559 Practice locations: Colorado Springs, CO; Lakewood, CO

Home health agency certification: CCN 067592

Legal name
VOYAGER HOME HEALTH CARE LLC
Doing business as
1ST VOYAGER HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2021
Last certification
Jan 29, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 2, 2015 in CO
Enrollment address
2233 Academy PL
Ste 105
Colorado Springs, CO 80909-1696

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
1St Voyager Home Health CareCCN 067592 · All quality measures
Ownership
Proprietary
Certified
Jan 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory
Tax ID family
Voyager Home Health Care LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Richard Gallion Individual 5% Or Greater Direct Ownership InterestDirector of Nursing Feb 2, 2015 49%
Corporate OfficerPresident Feb 2, 2015
Corporate DirectorDirector Feb 2, 2015
W-2 Managing EmployeeDirector of Nursing Feb 2, 2015
Jordan Jaquin Individual W-2 Managing EmployeeAd; Feb 1, 2023 100%
Travis Taylor Individual 5% Or Greater Direct Ownership InterestAlternative Director Feb 2, 2015 51%
Corporate OfficerVice President Feb 2, 2015
Corporate DirectorAlternative Director Feb 2, 2015
W-2 Managing EmployeeAdministrator Feb 2, 2015

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1578013017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-722-4516",
            "fax_number": "877-337-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-722-4516",
            "fax_number": "877-337-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOYAGER HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "GALLION",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-722-4516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04D465",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.