Active NPI
Family Home Health Care Inc
- Home Health Agency
- Denver, CO
National Provider Identifier
1922439041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAMILY HOME HEALTH CARE INC
- Practice address
- 1602 S Parker Rd Ste 203
Denver, CO 80231-2921 - Phone
- (303) 481-8253
- Fax
- (303) 481-8253
- NPI assigned
- Nov 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed I Ahmed
- Title
- President
- Phone
- (614) 254-2005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
1602 S Parker Rd Ste 203
Denver, CO 80231-2921
Mailing address
1602 S Parker Rd Ste 203
Denver, CO 80231-2921
Phone (614) 254-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18513590 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141104000239 | CO | Part A Provider - Home Health Agency | 2365664596 | Practice locations: Denver, CO |
Home health agency certification: CCN 067543
- Legal name
- FAMILY HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 30, 2015
- Last certification
- Dec 28, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 26, 2013 in CO
- Enrollment address
- 1602 S Parker Rd
Ste 203
Denver, CO 80231-2921
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Family Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Oct 30, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Family Home Health Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Denver, CO
- NPI 1063085272
Locations
1602 S Parker Rd
Ste 203
Denver, CO 80231
Phone (303) 481-8253
1602 S Parker Rd
Ste 312
Denver, CO 80231
Phone (303) 481-8253
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ahmed Rabi Kahin | Corporate Director | Jun 23, 2014 | |
| W-2 Managing Employee | Jun 23, 2014 | ||
| Mohamed I Ahmed | 5% Or Greater Direct Ownership Interest | Jun 17, 2015 | 100% |
| Corporate Officer | Nov 26, 2013 | ||
| Corporate Director | Nov 26, 2013 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1922439041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 S PARKER RD STE 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802312921",
"telephone_number": "614-254-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 S PARKER RD STE 203",
"city": "DENVER",
"state": "CO",
"postal_code": "802312921",
"telephone_number": "303-481-8253",
"fax_number": "303-481-8253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-30",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-254-2005"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18513590",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.