Organization Active NPI

Mile High Medical Service

  • Home Health Agency
  • Glendale, CO
National Provider Identifier
1659541795
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
091720 Issued in CO
Legal business name
MILE HIGH MEDICAL SERVICE
Practice address
4340 E Kentucky Ave
Suite 446
Glendale, CO 80246-2060
Phone
(720) 621-2041
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Antwonette Prothro
Title
Owner
Phone
(720) 621-2041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 091720 CO Primary

Addresses

Primary practice location

4340 E Kentucky Ave
Suite 446
Glendale, CO 80246-2060

Mailing address

4340 E Kentucky Ave
Suite 446
Glendale, CO 80246-2060
Phone (720) 621-2041

National Provider Directory

National Provider Directory

Locations

4340 E Kentucky Ave
Ste 446
Glendale, CO 80246
Phone (303) 759-1400

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1659541795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE",
            "address_2": "SUITE 446",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462060",
            "telephone_number": "720-621-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE",
            "address_2": "SUITE 446",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462060",
            "telephone_number": "720-621-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "PROTHRO",
        "authorized_official_first_name": "ANTWONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-621-2041"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "091720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.