NPIMap

Organization Active NPI

Professional Home Health Care Inc

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1831199306
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HOME HEALTH CARE INC
Practice address
1040 S 8TH St
Suite 201
Colorado Springs, CO 80905-7364
Phone
(719) 532-0373
Fax
(720) 864-2839
NPI assigned
Jul 27, 2005
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Ms. Sheryl A Bellinger
Title
President
Phone
(720) 530-5492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1040 S 8TH St
Suite 201
Colorado Springs, CO 80905-7364

Mailing address

1629 Harvard St
Longmont, CO 80503-2219
Phone (720) 494-0190

Other identifiers 1

IdentifierTypeStateIssuer
25255045MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030819000047 CO Part A Provider - Home Health Agency 1951212455 1 other NPI on this enrollment
Practice locations: Colorado Springs, CO; Pueblo, CO; Wheat Ridge, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831199306. Details of each certification follow.

Home health agency certification: CCN 067417

Legal name
PROFESSIONAL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 10, 2001
Last certification
May 6, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 28, 1983 in CO
Enrollment address
1040 S 8TH St
Ste 201
Colorado Springs, CO 80905-7301

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Professional Home Health Care IncCCN 067417 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 10, 2001
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
Professional Home Healthcare Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1040 S 8th St
Colorado Springs, CO 80905

3495 Wadsworth Blvd
Ste 400
Wheat Ridge, CO 80033
Phone (303) 368-1999

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Tyson K Morgan Individual W-2 Managing EmployeeCare Coordinator Dec 1, 2013
Operational/Managerial ControlCare Coordinator Dec 1, 2013
Sheryl Ann Bellinger Individual 5% Or Greater Direct Ownership Interest Oct 1, 1989 95%
Corporate OfficerCeo Oct 1, 2000
Corporate DirectorPresident,Treasurer,Secretary Oct 1, 1989
W-2 Managing EmployeePresident Oct 1, 2000
Operational/Managerial ControlPresident Oct 1, 2000
Merrill Joan Pilot Individual W-2 Managing EmployeeAdministrator Feb 13, 2006
Operational/Managerial ControlAdministrator Feb 13, 2006
Rochelle Kathleen Bruhn Individual 5% Or Greater Direct Ownership Interest Feb 28, 1983 5%
Stephanie M Ross Individual W-2 Managing EmployeeCare Coordinator Aug 1, 2017
Operational/Managerial ControlCare Coordinator Aug 1, 2017

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1831199306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HARVARD ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032219",
            "telephone_number": "720-494-0190",
            "fax_number": "720-864-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S 8TH ST",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057364",
            "telephone_number": "719-532-0373",
            "fax_number": "720-864-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "BELLINGER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-530-5492",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25255045",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.