Holy Host Home Agency LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOLY HOST HOME AGENCY LLC

Practice address

4815 Lisbon St
Denver, CO 80249-7455

Phone

(720) 492-6027

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By 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

Bethlehem Merid

Title

Director

Phone

(720) 492-6027

Specialties & licenses 1

Addresses

Tax ID family

Holy Host Home Agency 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.

• Holy Host Home Agency LLC

  • Private Vehicle
  • Denver, CO
  • NPI 1205616224
  NPD tax ID

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1659014819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LISBON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497455",
            "telephone_number": "720-492-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LISBON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497455",
            "telephone_number": "720-492-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY HOST HOME AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "MERID",
        "authorized_official_first_name": "BETHLEHEM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-492-6027"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Holway, RD
• Melanie Holwerda-Hommes
• Holy Cross Family Chiropractic
• Melissa Holy Elk Face
• Holy Host Home Agency LLC
• Ava Holz
• Mya Holzshu
• Amanda Hom, PHARMD
• Christine A Homan, LPC
• Amy Atkins Homburger

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Denver, CO
• Providers in Denver, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.