DKL Ventures, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04Y381 Issued in CO

Legal business name

DKL VENTURES, LLC

Doing business as

Select Home Care

Practice address

6143 S Willow Dr Ste 102
Greenwood Village, CO 80111-5122

Phone

(303) 757-2300

Fax

(303) 756-3263

NPI assigned

Oct 18, 2016

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Godfrey

Title

Administrator

Phone

(303) 757-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Select Home Care Doing business as

Tax ID family

DKL Ventures LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Select Home Care

  • Home Health Agency
  • Greenwood Village, CO
  • NPI 1659531069
  NPD tax ID

Locations

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1649721374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 S WILLOW DR STE 102",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115122",
            "telephone_number": "303-757-2300",
            "fax_number": "303-756-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 S WILLOW DR STE 102",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115122",
            "telephone_number": "303-757-2300",
            "fax_number": "303-756-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKL VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-757-2300"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04Y381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39579875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Distefano, P.A.
• Marguerite Distel, RN
• Sydney Celeste Dittman
• Karin Dittrick-Nathan, PHD
• Barb Divver, MT
• Amanda Marie Dobil, PA-C
• Jessica Dobis
• Leighanne Dock, CCC-SLP
• William Walter Dodson, M.D.
• Julie R Dokovna, DPT

• In Home Supportive Care Agency in Greenwood Village, CO
• Providers in Greenwood Village, 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 Oct 25, 2016; 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.