Organization Active NPI

Hildebrand Home Care Inc.

  • In Home Supportive Care Agency
  • Canon City, CO
National Provider Identifier
1790150183
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HILDEBRAND HOME CARE INC.
Practice address
1131 N 15TH St
Canon City, CO 81212-4618
Phone
(719) 276-3030
Fax
(719) 276-0011
NPI assigned
Dec 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Kimberly Diodosio
Title
Administrator
Phone
(719) 276-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1131 N 15TH St
Canon City, CO 81212-4618

Mailing address

1131 N 15TH St
Canon City, CO 81212-4618
Phone (719) 276-3030

Other identifiers 1

IdentifierTypeStateIssuer
99054787OtherCOPROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Hildebrand Home Care - Salida3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1131 N 15th St
Canon City, CO 81212
Phone (719) 275-0595

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1790150183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N 15TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124618",
            "telephone_number": "719-276-3030",
            "fax_number": "719-276-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N 15TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124618",
            "telephone_number": "719-276-3030",
            "fax_number": "719-276-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDEBRAND HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "DIODOSIO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-276-3010"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "99054787",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.