Organization Active NPI

Peak to Peak Home Healthcare, LLC

  • Home Health Agency
  • Centennial, CO
National Provider Identifier
1811729809
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEAK TO PEAK HOME HEALTHCARE, LLC
Practice address
15942 E Otero Cir
Centennial, CO 80112-4761
Phone
(720) 935-2713
NPI assigned
Aug 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Vladislav Merkulov, OTD, OTR/LNPI 1447845367
Title
Administrator
Phone
(720) 935-2713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15942 E Otero Cir
Centennial, CO 80112-4761

Mailing address

15942 E Otero Cir
Centennial, CO 80112-4761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030002961 CO Part A Provider - Home Health Agency 1658804521 Practice locations: Centennial, CO

Home health agency certification: CCN 067648

Legal name
PEAK TO PEAK HOME HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 29, 2025
Last certification
Apr 10, 2025
Organization structure
LLCProprietary
Incorporated
Dec 30, 2023 in CO
Enrollment address
15942 E Otero Cir
Centennial, CO 80112-4761

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peak to Peak Home Healthcare LLCCCN 067648
Ownership
-
Certified
Apr 29, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2315226Peak to Peak Home Healthcare, LLC15942 E Otero Circle, Centennial, CO 80112Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Tanya Tarigan Individual W-2 Managing EmployeeClinical Manager Aug 15, 2024
Vladislav Merkulov Individual 5% Or Greater Direct Ownership Interest Dec 30, 2023 100%
Corporate OfficerAdministrator Dec 30, 2023 100%
Corporate DirectorGoverning Body President Dec 30, 2023 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1811729809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15942 E OTERO CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15942 E OTERO CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124761",
            "telephone_number": "720-935-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK TO PEAK HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MERKULOV",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-935-2713",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.