Active NPI
North Colorado Medical Center
- Home Health Agency
- Greeley, CO
National Provider Identifier
1770526337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NORTH COLORADO MEDICAL CENTER
- Practice address
- 2010 16TH St
Greeley, CO 80631-5188 - Phone
- (970) 350-6222
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Laraway
- Title
- Cfo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2010 16TH St
Greeley, CO 80631-5188
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05701289 | Medicaid | CO |
Other names 1
- Banner Home Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1770526337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 16TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806315188",
"telephone_number": "970-350-6222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COLORADO MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "LARAWAY",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05701289",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Banner Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Banner Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.