Organization Active NPI

Spirit Homecare LLC

  • Home Health Agency
  • Fort Collins, CO
National Provider Identifier
1801156492
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04H957 Issued in CO
Legal business name
SPIRIT HOMECARE LLC
Practice address
2601 S Lemay Ave
Suite 41
Fort Collins, CO 80525-2295
Phone
(970) 266-1395
Fax
(970) 223-2933
NPI assigned
May 17, 2012
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mr. Bruce Teague
Title
President
Phone
(319) 594-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04H957 CO Primary

Addresses

Primary practice location

2601 S Lemay Ave
Suite 41
Fort Collins, CO 80525-2295

Mailing address

13375 University Ave
Suite 200
Clive, IA 50325-8261
Phone (515) 221-9155

National Provider Directory

National Provider Directory
Tax ID family
Spirit Home Healthcare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1801156492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13375 UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258261",
            "telephone_number": "515-221-9155",
            "fax_number": "515-221-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S LEMAY AVE",
            "address_2": "SUITE 41",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252295",
            "telephone_number": "970-266-1395",
            "fax_number": "970-223-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-594-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04H957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.