NPIMap

Organization Active NPI

Authentic Home Care Inc

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1790360147
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AUTHENTIC HOME CARE INC
Practice address
1260 S Parker Rd Ste 101
Denver, CO 80231-8065
Phone
(720) 535-6297
Fax
(720) 535-5315
NPI assigned
Mar 16, 2021
Organization subpart
Yes
Parent organization
AUTHENTIC HOME CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Abdirashid Sayid
Title
President/Owner
Phone
(720) 404-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1260 S Parker Rd Ste 101
Denver, CO 80231-8065

Mailing address

1260 S Parker Rd Ste 101
Denver, CO 80231-8065
Phone (720) 535-6297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210611001142 CO Part A Provider - Home Health Agency 7517367667 Practice locations: Denver, CO

Home health agency certification: CCN 067621

Legal name
AUTHENTIC HOME CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 29, 2022
Last certification
Jul 29, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 15, 2010 in CO
Enrollment address
1260 S Parker Rd
Ste 101
Denver, CO 80231-8065

Care Compare: Home health agency

Medicare Care Compare
Listed as
Authentic Home Care IncCCN 067621 · All quality measures
Ownership
Proprietary
Certified
Jul 29, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Authentic Home Care Inc4 organizations share this tax ID, including this one
Part of
Authentic Home Care Inc

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Abdirashid Ali Sayid Individual 5% Or Greater Direct Ownership Interest Mar 15, 2010 100%
Corporate OfficerCeo Mar 15, 2010 100%
Corporate DirectorGoverning Body President/Ceo Mar 15, 2010 100%
Staci Callaway-Coulter Individual W-2 Managing EmployeeAdministrator Sep 22, 2020
Deborah a Reynolds Individual W-2 Managing EmployeeMD; Jan 1, 2026

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1790360147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318065",
            "telephone_number": "720-535-6297",
            "fax_number": "720-535-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318065",
            "telephone_number": "720-535-6297",
            "fax_number": "720-535-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HOME CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUTHENTIC HOME CARE INC",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SAYID",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "720-404-7502"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.