Mountain Home Medical

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

Legal business name

MOUNTAIN HOME MEDICAL

Practice address

226 Illini Dr
Woodland Park, CO 80863-8747

Phone

(719) 686-7504

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dan Nicholson

Title

Owner

Phone

(719) 331-9861

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598816753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ILLINI DR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ILLINI DR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638747",
            "telephone_number": "719-686-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-331-9861"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02800586",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy L Miller, AGNP
• Norie Danielle Minor, FNP-C
• Christopher L. Mirabella, D.C.
• Andrew Mitchell, MD
• Brent K Morrill, DDS
• Mountain Stream Dental Care PLLC
• Mountain View Counseling, LLC
• Mrs Carols Apothecary
• Jackie L Murphy, LCSW
• Nicole Meyerkopf Vasquez Murray, CSW, MSW

• Personal Emergency Response Attendant in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Personal Emergency Response Attendant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.