Organization Active NPI

Colorado Vna, LLC

  • Home Health Agency
  • Arvada, CO
National Provider Identifier
1821092248
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NA Issued in CO
Legal business name
COLORADO VNA, LLC
Practice address
6750 W 52ND Ave
Arvada, CO 80002-3928
Phone
(303) 698-2121
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Tim J Bowen
Title
Ceo
Phone
(303) 398-6203

Specialties & licenses 1

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

Addresses

Primary practice location

6750 W 52ND Ave
Arvada, CO 80002-3928

Mailing address

6750 W 52ND Ave
Arvada, CO 80002-3928
Phone (303) 698-2121

Other identifiers 1

IdentifierTypeStateIssuer
63681536MedicaidCO

Other names 1

  • Colorado Visiting Nurse Association Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160930000057 CO Part A Provider - Home Health Agency 1456648724 Practice locations: Arvada, CO

Home health agency certification: CCN 067002

Legal name
COLORADO VNA LLC
Doing business as
CARE SYNERGY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Nov 11, 2020
Ownership / control type
Proprietary
Organization structure
LLCNon-profit
Incorporated
May 1, 2016 in CO
Enrollment address
6750 W 52ND Ave
Arvada, CO 80002-3928

Care Compare: Home health agency

Medicare Care Compare
Listed as
Colorado Vna LLCCCN 067002
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
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
Colorado Vna LLC3 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Nedra L. Downing Individual Corporate OfficerTreasurer May 1, 2016
Corporate DirectorDirector/ Board Member May 1, 2016
Kerri Davis Individual Corporate DirectorVP of Quality and Compliance Jun 5, 2026
Bradley Philip Baumgartner Individual Corporate OfficerBoard Member Oct 31, 2025
Rodney Rice Individual Corporate OfficerBoard Member Oct 31, 2025
Nancy S Botiller Individual Corporate OfficerSecretary Jan 1, 2020
Corporate DirectorDirector/ Board Member Jan 1, 2020
Philip Reed Individual Corporate OfficerBoard Member Oct 31, 2026
Comfort Bridge Organization, Denver, CO Non-profit Operational/Managerial Control Oct 31, 2019
Anthony L Giacomini Individual Corporate OfficerVice Chair Jan 1, 2020
Corporate DirectorDirector/Board Member May 1, 2016
Timothy Bowen Individual Corporate OfficerCeo Nov 1, 2019
Patricia a. Ford Individual W-2 Managing EmployeeCoo May 29, 2025
Ben D Price Individual Corporate OfficerChair Jan 1, 2020 5%
Corporate DirectorDirector/ Board Member May 1, 2016
Adam J Bergquist Individual Corporate OfficerBoard Member Jul 22, 2019

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
May 1, 2016 Change of OwnershipThis provider was the buyer Colorado Visiting Nurse AssociationCCN 067002, CO, NPI 1821092248
May 1, 2016 Change of OwnershipThis provider was the seller Care SynergyCCN 067002, CO, NPI 1821092248

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1821092248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023928",
            "telephone_number": "303-698-2121",
            "fax_number": "303-698-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W 52ND AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023928",
            "telephone_number": "303-698-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO VNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-398-6203"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63681536",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Visiting Nurse Association",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Colorado Visiting Nurse Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.