NPIMap

Organization Active NPI

Preferred Homecare of Colorado, LLC

  • Oxygen Equipment & Supplies (DME)
  • Grand Junction, CO
National Provider Identifier
1750487435
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
41071020001 Issued in CO
Legal business name
PREFERRED HOMECARE OF COLORADO, LLC
Practice address
529 25 1/2 Rd
Ste 107
Grand Junction, CO 81505-6126
Phone
(970) 257-1565
Fax
(970) 257-1696
NPI assigned
Sep 16, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Teri L Jamison
Title
Govt Compliance Manager
Phone
(480) 446-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 41071020001 CO Primary

Addresses

Primary practice location

529 25 1/2 Rd
Ste 107
Grand Junction, CO 81505-6126

Mailing address

PO Box 40700
Mesa, AZ 85274-0700
Phone (480) 446-9010

Other identifiers 1

IdentifierTypeStateIssuer
99729041MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Preferred Homecare of Colorado LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1750487435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "480-446-9010",
            "fax_number": "480-993-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 25 1/2 RD",
            "address_2": "STE 107",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815056126",
            "telephone_number": "970-257-1565",
            "fax_number": "970-257-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOMECARE OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GOVT COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": "41071020001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99729041",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.