Jacqueline Rae Hiner

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04S685 Issued in CO

Practice address

117 W Elm St
Lamar, CO 81052-2701

Phone

(719) 691-1941

Fax

(719) 691-2132

NPI assigned

Oct 6, 2020

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jackie Rae Hiner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sand and Sage Personal Care Agency

  • In Home Supportive Care Agency
  • Lamar, CO
  • NPI 1740650431
  NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1740887405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W ELM ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810522701",
            "telephone_number": "719-691-1941",
            "fax_number": "719-691-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W ELM ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810522701",
            "telephone_number": "719-691-1941",
            "fax_number": "719-691-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINER",
        "first_name": "JACQUELINE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04S685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HINER",
            "middle_name": "RAE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• High Plains Community Health Center, Inc. (High Plains Community Health Center Pharmacy)
• High Plains Community Health Center, Incorporated
• High Plains Migrant
• Meagan L Hillman, PA-C
• Hilton C Ray MDPC
• Julie Hobden, RN-BSN
• Jeffrey Horgan, ATC
• Helen Drake Iams, MD
• Celia A Ibanez
• Arin W Iman, D.O.

• In Home Supportive Care Agency in Lamar, CO
• Providers in Lamar, CO by specialty
• In Home Supportive Care Agency in Colorado

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