Active NPI
Michelle Lee
- Home Health Agency
- Denver, CO
National Provider Identifier
1730628710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04V250
- Practice address
- 21000 Lackland PL
Denver, CO 80249-8530 - Phone
- (720) 343-2350
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04V250 | CO | Primary |
Addresses
Primary practice location
21000 Lackland PL
Denver, CO 80249-8530
Mailing address
18590 E 19TH St Ste 200
Aurora, CO 80011
Phone (720) 434-1790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12783862 | Medicaid | CO | |
| 1730628710 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04V250 | CO | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Residential Care Services | Home Health | Current | Accepting new patients |
| SHS Care Services, LLC | Home Health | Current | Accepting new patients |
Locations
18590 E 19th Ave
Unit 200
Aurora, CO 80011
Phone (720) 343-2350
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Aurora, CO
- NPI 1114525466
Home Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1730628710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18590 E 19TH ST STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "720-434-1790",
"fax_number": "866-872-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 LACKLAND PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802498530",
"telephone_number": "720-343-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "04V250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12783862",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730628710",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.