Baca Home Care Agency, Inc

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

BACA HOME CARE AGENCY, INC

Practice address

681 W 5TH Ave
Springfield, CO 81073-1208

Phone

(719) 523-3158

NPI assigned

Jul 30, 2018

Last updated

May 29, 2019By 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

Mr. Tyler K Gibson

Title

Owner/Manager

Phone

(719) 523-3158

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1699253989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 W 5TH AVE",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731208",
            "telephone_number": "719-523-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 W 5TH AVE",
            "city": "SPRINGFIELD",
            "state": "CO",
            "postal_code": "810731208",
            "telephone_number": "719-523-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACA HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "719-523-3158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baca County Department of Social Services (Baca County Case Management)
• Baca County Department of Social Services (Baca County Personal Care Agency)
• Baca County Department of Social Services (Baca County Personal Care Agency)
• Staci Faye Bishop, PAC
• Nicole Blais, OTR/L
• Jessami Caddick
• County Commissioners of Baca
• County Commissioners of Baca

• Homemaker in Springfield, CO
• Providers in Springfield, CO by specialty
• Homemaker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.