Active NPI
Peak to Peak Home Healthcare, LLC
- Home Health Agency
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vladislav Merkulov, OTD, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- -
- Certified
- Apr 29, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2315226 | Peak to Peak Home Healthcare, LLC | Certificate of waiver | Dec 8, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tanya Tarigan | W-2 Managing Employee | Aug 15, 2024 | |
| Vladislav Merkulov | 5% Or Greater Direct Ownership Interest | Dec 30, 2023 | 100% |
| Corporate Officer | Dec 30, 2023 | 100% | |
| Corporate Director | 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.
-
- Occupational Therapist
- Centennial, CO
- NPI 1447845367
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.