NPIMap

Organization Active NPI

Professional Home Health Care, Inc.

  • Home Health Agency
  • Wheat Ridge, CO
National Provider Identifier
1912241159
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HOME HEALTH CARE, INC.
Practice address
3495 Wadsworth Blvd Ste 400
Wheat Ridge, CO 80033-0000
Phone
(303) 368-1999
Fax
(303) 368-8221
NPI assigned
Nov 10, 2012
Last updated
Jun 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Authorized official

Name
Sheryl Ann Bellinger
Title
President
Phone
(720) 530-5492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CO Primary

Addresses

Primary practice location

3495 Wadsworth Blvd Ste 400
Wheat Ridge, CO 80033-0000

Mailing address

1629 Harvard St
Longmont, CO 80503-2219
Phone (720) 494-0190

Other identifiers 1

IdentifierTypeStateIssuer
77455835MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121226000015 CO Part A Provider - Home Health Agency 1951212455 Practice locations: Wheat Ridge, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912241159. Details of each certification follow.

Home health agency certification: CCN 067513

Legal name
PROFESSIONAL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2013
Last certification
Jul 25, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 28, 1983 in CO
Enrollment address
3495 Wadsworth Blvd
Ste 400
Wheat Ridge, CO 80033-4606

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Professional Home Health Care IncCCN 067513 · All quality measures
Ownership
Proprietary
Certified
Oct 21, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Professional Home Healthcare Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

7375 W 52nd Ave
Arvada, CO 80002
Phone (303) 455-1932

7375 W 52nd Ave
Ste 250
Arvada, CO 80002
Phone (303) 455-1932

1120 N Circle Dr
Ste 7
Colorado Spgs, CO 80909
Phone (719) 532-0373

10 N Meade Ave
Ste 100
Colorado Springs, CO 80909

1040 S 8th St
Ste 201
Colorado Springs, CO 80905
Phone (719) 532-0373

10200 E Girard Ave
Ste C241
Denver, CO 80231

2050 Terry St
Ste 101
Longmont, CO 80501
Phone (720) 494-0190

24 Club Manor Dr
Ste 201
Pueblo, CO 81008
Phone (719) 272-4227

3495 Wadsworth Blvd
Ste 400
Wheat Ridge, CO 80033
Phone (303) 368-1999

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sheryl Ann Bellinger Individual 5% Or Greater Direct Ownership Interest Nov 30, 1990 95%
Corporate OfficerCeo Jan 29, 2001
Corporate DirectorPresident Nov 30, 1990 95%
W-2 Managing EmployeePresident Jan 29, 2001
Operational/Managerial ControlPresident Jan 29, 2001
Merrill Joan Pilot Individual W-2 Managing EmployeeAdministrator Jun 1, 2016
Operational/Managerial ControlAdministrator Jun 1, 2016 100%
Rochelle Kathleen Bruhn Individual 5% Or Greater Direct Ownership Interest Feb 28, 1983 5%

NPI Registry JSON

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1912241159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HARVARD ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032219",
            "telephone_number": "720-494-0190",
            "fax_number": "720-864-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 WADSWORTH BLVD STE 400",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800330000",
            "telephone_number": "303-368-1999",
            "fax_number": "303-368-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-10",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "BELLINGER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-530-5492"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77455835",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.