Organization Active NPI

Lucky You Home Care Services, LLC

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1871151357
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUCKY YOU HOME CARE SERVICES, LLC
Practice address
1602 S Parker Rd Ste 308
Denver, CO 80231-2922
Phone
(720) 532-2920
Fax
(720) 282-3337
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Sayera Kamilova
Title
Director/Administrator
Phone
(720) 532-2920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1602 S Parker Rd Ste 308
Denver, CO 80231-2922

Mailing address

17989 E Dickenson PL
Aurora, CO 80013-5909
Phone (720) 532-2920

Other identifiers 1

IdentifierTypeStateIssuer
97306541MedicaidCO

National Provider Directory

National Provider Directory

Locations

1602 S Parker Rd
Ste 308
Denver, CO 80231
Phone (720) 532-2920

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1871151357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17989 E DICKENSON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135909",
            "telephone_number": "720-532-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 S PARKER RD STE 308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312922",
            "telephone_number": "720-532-2920",
            "fax_number": "720-282-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY YOU HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "KAMILOVA",
        "authorized_official_first_name": "SAYERA",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "720-532-2920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97306541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.