Fidem Home Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FIDEM HOME CARE LLC

Practice address

8500 East Mississipi Ave
Unit 82
Denver, CO 80247-2247

Phone

(720) 324-6365

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Ruth Phiri IervolinoNPI 1477321081

Title

Executive Director

Phone

(720) 324-6365

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Iervolino, RN

  • Registered Nurse
  • Wheat Ridge, CO
  • NPI 1477321081
  NPD Authorized official

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1902533144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EAST MISSISSIPI AVE",
            "address_2": "UNIT 82",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472247",
            "telephone_number": "720-324-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EAST MISSISSIPI AVE",
            "address_2": "UNIT 82",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472247",
            "telephone_number": "720-324-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "IERVOLINO",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "PHIRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-324-6365"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Fetzer, RN
• Cristina Fiallos, RN
• Lia A Fiallos, D.O.
• Karen Fiant
• Abbie Ficsor, IBCLC
• Gina Fidler, NP
• Kristina Fiedler
• Kristin Connie Fiegen, PA-C
• Field of Vision Counseling
• Field of Vision Counseling

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Denver, CO
• Providers in Denver, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.