Organization Active NPI

Patriot Home Care Group LTD

  • Custodial Care Facility
  • Aurora, CO
National Provider Identifier
1902461478
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
PATRIOT HOME CARE GROUP LTD
Practice address
1450 S Havana St Ste 306
Aurora, CO 80012-4023
Phone
(720) 568-9880
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Megerssa Adeba
Title
Owner/Manager
Phone
(720) 568-9880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

1450 S Havana St Ste 306
Aurora, CO 80012-4023

Mailing address

1436 S Buchanan Cir
Aurora, CO 80018-6006
Phone (720) 568-9880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1902461478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 S BUCHANAN CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800186006",
            "telephone_number": "720-568-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 306",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124023",
            "telephone_number": "720-568-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOME CARE GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "ADEBA",
        "authorized_official_first_name": "MEGERSSA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "720-568-9880"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.