Organization Active NPI

Ac Home Health Care LLC

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1669649349
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
92931235 Issued in CO
Legal business name
AC HOME HEALTH CARE LLC
Practice address
5737 Constitution Ave
Colorado Springs, CO 80915-1220
Phone
(719) 590-9510
Fax
(719) 535-9212
NPI assigned
May 13, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mrs. Annette Alicia Moody
Title
Owner
Phone
(719) 590-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 92931235 CO Primary

Addresses

Primary practice location

5737 Constitution Ave
Colorado Springs, CO 80915-1220

Mailing address

5737 Constitution Ave
Coloradosprings, CO 80915
Phone (719) 590-9510

Other names 1

  • none Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
2Ac Homehealthcare2 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.

Locations

5737 Constitution Ave
Colorado Springs, CO 80915
Phone (719) 590-9510

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1669649349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 CONSTITUTION AVE",
            "city": "COLORADOSPRINGS",
            "state": "CO",
            "postal_code": "80915",
            "telephone_number": "719-590-9510",
            "fax_number": "719-535-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 CONSTITUTION AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151220",
            "telephone_number": "719-590-9510",
            "fax_number": "719-535-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC HOME HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-590-9510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "92931235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.