Organization Active NPI

Ahiska Homecare LLC

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1679016919
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
04M462 Issued in CO
Legal business name
AHISKA HOMECARE LLC
Practice address
1450 S Havana St Unit 520
Aurora, CO 80012-4018
Phone
(303) 632-6720
Fax
(303) 872-9120
NPI assigned
Nov 18, 2016
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Igor Bayerman
Title
Director
Phone
(303) 632-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 04M462 CO Primary

Addresses

Primary practice location

1450 S Havana St Unit 520
Aurora, CO 80012-4018

Mailing address

1450 S Havana St Unit 520
Aurora, CO 80012
Phone (303) 632-6720

Other identifiers 1

IdentifierTypeStateIssuer
26873273MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Ahiska Homecare 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.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1679016919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST UNIT 520",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-632-6720",
            "fax_number": "303-872-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST UNIT 520",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "303-632-6720",
            "fax_number": "303-872-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHISKA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BAYERMAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-632-6720"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04M462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26873273",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.