Centennial Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06D1019559 Issued in CO

Legal business name

CENTENNIAL HOME CARE, LLC

Doing business as

Memorial Regional Health Home Health and Hospice

Practice address

600 Russell St
Craig, CO 81625-2018

Phone

(970) 824-6882

Fax

(970) 824-2157

NPI assigned

Feb 8, 2007

Last updated

Jul 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Cooper

Title

Director

Phone

(970) 826-2421

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Memorial Regional Health Home Health and Hospice Doing business as

Member of 1

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

• The Memorial Hospital

  dba Community Pharmacy at Memorial Regional Health

  • Community/Retail Pharmacy
  • Craig, CO
  • NPI 1326564246

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1780724559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252018",
            "telephone_number": "970-824-6882",
            "fax_number": "970-824-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252018",
            "telephone_number": "970-824-6882",
            "fax_number": "970-824-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-826-2421"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "06D1019559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79873341",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Regional Health Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Cabrera
• Tammy Cairns, R.D.H., B.S.
• Cardinal Pathology, PC
• Julian Thomas Carrier, DO
• Gail Cattoor, LPN
• Centennial Home Care, LLC (Memorial Regional Health Home Health and Hospice)
• Cindee Clark, RDH
• Laura Leeann Cline, PHARMD
• Clarissa Cocozzella, DACM, L.AC
• Robert Lee Collins, M.D.

• Home Health Agency in Craig, CO
• Providers in Craig, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.