Active NPI
Immaculate Care Optimal Nursing Home & Health LLC
- Home Health Aide
- Aurora, CO
National Provider Identifier
1588089015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- IMMACULATE CARE OPTIMAL NURSING HOME & HEALTH LLC
- Practice address
- 2821 S. Parker Rd.
Suite 177
Aurora, CO 80014 - Phone
- (720) 480-5086
- Fax
- (720) 535-7221
- NPI assigned
- Feb 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alma Hissong
- Title
- Ceo
- Phone
- (720) 480-5086
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Nursing Home Administrator | 376G00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
2821 S. Parker Rd.
Suite 177
Aurora, CO 80014
Mailing address
2821 S. Parker Rd
Suite 177
Aurora, CO 80014
Phone (720) 480-5086
National Provider Directory
National Provider DirectoryLocations
2821 S Parker Rd
Ste 177
Aurora, CO 80014
Phone (720) 480-5086
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392854400000",
"number": "1588089015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 S. PARKER RD",
"address_2": "SUITE 177",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "720-480-5086",
"fax_number": "720-535-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 S. PARKER RD.",
"address_2": "SUITE 177",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "720-480-5086",
"fax_number": "720-535-7221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMACULATE CARE OPTIMAL NURSING HOME & HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A",
"authorized_official_last_name": "HISSONG",
"authorized_official_first_name": "ALMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-480-5086",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.