NPIMap

Organization Active NPI

Colorado Family Quality Home Care

  • Case Management Agency
  • Aurora, CO
National Provider Identifier
1902557671
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COLORADO FAMILY QUALITY HOME CARE
Practice address
1450 S Havana St Ste 410
Aurora, CO 80012-4025
Phone
(303) 632-7225
Fax
(303) 353-9884
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Ama Koomson, RN
Title
Administrator
Phone
(303) 632-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1450 S Havana St Ste 410
Aurora, CO 80012-4025

Mailing address

1450 S Havana St Ste 410
Aurora, CO 80012-4025
Phone (303) 632-7225

Other identifiers 1

IdentifierTypeStateIssuer
9000103410MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Colorado Family Quality Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1902557671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 410",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124025",
            "telephone_number": "303-632-7225",
            "fax_number": "303-353-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 410",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124025",
            "telephone_number": "303-632-7225",
            "fax_number": "303-353-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY QUALITY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "KOOMSON",
        "authorized_official_first_name": "AMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-632-7225",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000103410",
            "state": "CO"
        }
    ],
    "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 Dec 1, 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.