NPIMap

Organization Active NPI

County of Alamosa

  • Home Health Agency
  • Alamosa, CO
National Provider Identifier
1639173180
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05726005 Issued in CO
Legal business name
COUNTY OF ALAMOSA
Doing business as
Alamosa County Public Health Department
Practice address
8900 Independence Way
Building B
Alamosa, CO 81101-9412
Phone
(719) 589-6639
Fax
(719) 589-1103
NPI assigned
Jun 10, 2005
Organization subpart
Yes
Parent organization
ALAMOSA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Jody Kern
Title
Director
Phone
(719) 589-6639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05726005 CO Primary
Home Health Agency 251E00000X 067026 CO

Addresses

Primary practice location

8900 Independence Way
Building B
Alamosa, CO 81101-9412

Mailing address

8900 Independence Way Ste B
Alamosa, CO 81101-9417
Phone (719) 589-6639

Other identifiers 1

IdentifierTypeStateIssuer
05726005MedicaidCO

Other names 1

  • Alamosa County Public Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030220000019 CO Part A Provider - Home Health Agency 6901715499 Practice locations: Alamosa, CO

Home health agency certification: CCN 067026

Legal name
COUNTY OF ALAMOSA
Doing business as
ALAMOSA COUNTY PUBLIC HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 1972
Last certification
Feb 17, 2021
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Incorporated
Feb 1, 1972 in CO
Enrollment address
8900 Independence Way
Ste B
Alamosa, CO 81101-9417

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alamosa County Public Health DepartmentCCN 067026
Overall star rating
3.5 of 5
Ownership
Government Operated
Certified
Apr 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Alamosa County2 organizations share this tax ID, including this one
Part of
Alamosa County

Other organizations with this tax ID 1

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

Locations

8900 Independence Way
Ste B
Alamosa, CO 81101
Phone (719) 589-6639

8900 Independence Way
Ste Ab
Alamosa, CO 81101

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Elizabeth J Lopez Individual W-2 Managing EmployeeFinance May 5, 2023
Operational/Managerial Control May 5, 2023
Lena S Martinez Individual W-2 Managing EmployeeAccounting Tech Jan 1, 2014
Operational/Managerial ControlAccounting Tech Jan 1, 2014
Vern Heersink Individual W-2 Managing EmployeeChairman of Board of County Commiss Jan 14, 2025
Jody L Kern Individual W-2 Managing EmployeePublic Health Director Oct 15, 2024
County of Alamosa Organization, Alamosa, CO 5% Or Greater Direct Ownership Interest Feb 1, 1972 100%
Andrea Deherrera Individual W-2 Managing EmployeeHome Health Administrator Jul 25, 2023
Operational/Managerial ControlHome Health Adimistrator Jul 25, 2023

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1639173180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 INDEPENDENCE WAY STE B",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019417",
            "telephone_number": "719-589-6639",
            "fax_number": "719-589-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 INDEPENDENCE WAY",
            "address_2": "BUILDING B",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019412",
            "telephone_number": "719-589-6639",
            "fax_number": "719-589-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ALAMOSA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAMOSA COUNTY",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-589-6639"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "05726005",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "067026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05726005",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamosa County Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alamosa County Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.