Primary Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMARY HOME CARE

Practice address

513 Broadway Ave
Pueblo, CO 81004-2115

Phone

(719) 542-7141

Fax

(719) 543-5644

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jewel Marie Densford, R.N.

Title

Administrator

Phone

(719) 542-7141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881667376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042115",
            "telephone_number": "719-542-7141",
            "fax_number": "719-543-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042115",
            "telephone_number": "719-542-7141",
            "fax_number": "719-543-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENSFORD",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-542-7141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Priest, RDN
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• Janis M. Proal, MASSAGE THERAPIST
• Maritza Proano, M.D.
• Carol Lynn Procell, R.N.
• Carla Rae Proctor, M.D.

• Home Health Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.