Organization Active NPI

Sterling Medcare Home & Community Based Services, Inc.

  • Community Based Hospice Care Agency
  • Sterling, CO
National Provider Identifier
1649482415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
STERLING MEDCARE HOME & COMMUNITY BASED SERVICES, INC.
Practice address
614 S 10TH Ave
Sterling, CO 80751-3415
Phone
(970) 522-6807
Fax
(970) 522-2807
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jacqueline Donnelly
Title
Administrator
Phone
(970) 522-6807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

614 S 10TH Ave
Sterling, CO 80751-3415

Mailing address

614 S 10TH Ave
P.O. Box 791
Sterling, CO 80751-3415
Phone (970) 522-6807

Other identifiers 1

IdentifierTypeStateIssuer
68676859MedicaidCO

National Provider Directory

National Provider Directory

Locations

614 S 10th Ave
Sterling, CO 80751
Phone (970) 522-6807

214 S 3rd St
Sterling, CO 80751
Phone (719) 458-8050

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649482415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S 10TH AVE",
            "address_2": "P.O. BOX 791",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513415",
            "telephone_number": "970-522-6807",
            "fax_number": "970-522-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S 10TH AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513415",
            "telephone_number": "970-522-6807",
            "fax_number": "970-522-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING MEDCARE HOME & COMMUNITY BASED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-522-6807",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68676859",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • 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.