Organization Active NPI

Beacon Skilled Care LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1669027033
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEACON SKILLED CARE LLC
Practice address
10730 E Bethany Dr Ste 335
Aurora, CO 80014-3608
Phone
(303) 339-0111
Fax
(303) 500-5114
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Gurgen Krylov
Title
Owner
Phone
(720) 448-7406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10730 E Bethany Dr Ste 335
Aurora, CO 80014-3608

Mailing address

10730 E Bethany Dr Ste 335
Aurora, CO 80014-3608
Phone (303) 339-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200203002009 CO Part A Provider - Home Health Agency 4587090972 Practice locations: Aurora, CO

Home health agency certification: CCN 067590

Legal name
BEACON SKILLED CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 2020
Last certification
Sep 1, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 13, 2019 in CO
Enrollment address
1450 S Havana St
Ste 707
Aurora, CO 80012-4034

Care Compare: Home health agency

Medicare Care Compare
Listed as
Beacon Skilled Care LLCCCN 067590 · All quality measures
Ownership
Proprietary
Certified
Sep 1, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

10730 E Bethany Dr
Ste 335
Aurora, CO 80014
Phone (303) 339-0111

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Amanda Capobianco Individual W-2 Managing EmployeeAd; Mar 19, 2025
Gurgen Krylov Individual 5% Or Greater Direct Ownership Interest Aug 4, 2022 100%
Corporate Officer Aug 4, 2022 100%
Corporate Director Aug 4, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1669027033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 E BETHANY DR STE 335",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143608",
            "telephone_number": "303-339-0111",
            "fax_number": "303-500-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 E BETHANY DR STE 335",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143608",
            "telephone_number": "303-339-0111",
            "fax_number": "303-500-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON SKILLED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "KRYLOV",
        "authorized_official_first_name": "GURGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-448-7406"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.