NPIMap

Organization Active NPI

Sangre de Cristo Community Care

  • Home Health Agency
  • Trinidad, CO
National Provider Identifier
1720659667
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANGRE DE CRISTO COMMUNITY CARE
Doing business as
Sangre de Cristo Community Care
Practice address
1502 E Main St Ste 2
Trinidad, CO 81082-2014
Phone
(719) 569-4502
Fax
(719) 422-8358
NPI assigned
Jul 1, 2021
Last updated
Jul 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SANGRE DE CRISTO COMMUNITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Janell Solomon
Title
Director of Compliance
Phone
(719) 542-0032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1502 E Main St Ste 2
Trinidad, CO 81082-2014

Mailing address

1502 E Main St Ste 2
Trinidad, CO 81082-2014
Phone (719) 569-4502

Other names 1

  • Sangre de Cristo Community Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sangre de Cristo Community Care Canon City4 organizations share this tax ID, including this one
Part of
Sangre de Cristo Community Care Canon City

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

601 Greenwood Ave
#B
Canon City, CO 81212
Phone (719) 275-1261

1502 E Main St
Ste 2
Trinidad, CO 81082
Phone (719) 569-4502

615 Walsen Ave
Ste 1
Walsenburg, CO 81089
Phone (719) 569-4518

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1720659667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E MAIN ST STE 2",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822014",
            "telephone_number": "719-569-4502",
            "fax_number": "719-422-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E MAIN ST STE 2",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822014",
            "telephone_number": "719-569-4502",
            "fax_number": "719-422-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGRE DE CRISTO COMMUNITY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANGRE DE CRISTO COMMUNITY CARE",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "719-542-0032"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sangre de Cristo Community Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sangre de Cristo Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.