Vidacare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VIDACARE LLC

Practice address

11990 Grant St Ste 550
Northglenn, CO 80233-1101

Phone

(303) 521-0617

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Denisse Cousin

Title

Owner

Phone

(303) 521-0617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1609488824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "303-521-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "303-521-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "DENISSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-521-0617"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron L. Veatch, PH.D.
• Ariel Velotta
• Verania Venegas
• Victor H. Cordero, Psy.D.
• Vida Consejeria Invidual & Familiar PLLC
• Sarah Anne Vidaurri, NP
• Andrea Vogt
• Jasmine Vonkriegenbergh
• Jasper Vue
• Lauren Michelle Wackowski, M.S., OTR/L

• In Home Supportive Care Agency in Northglenn, CO
• Providers in Northglenn, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.