Organization Active NPI

Mediguard Home Health Care Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1932755428
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDIGUARD HOME HEALTH CARE INC
Practice address
14221 E 4TH Ave Ste 2-130
Aurora, CO 80011-8735
Phone
(720) 240-6950
Fax
(303) 749-1130
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Medhanet Gelaw
Title
Owner
Phone
(720) 240-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14221 E 4TH Ave Ste 2-130
Aurora, CO 80011-8735

Mailing address

14221 E 4TH Ave Ste 2-130
Aurora, CO 80011-8735
Phone (720) 240-6950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429000249 CO Part A Provider - Home Health Agency 4486084746 Practice locations: Aurora, CO

Home health agency certification: CCN 067599

Legal name
MEDIGUARD HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 16, 2021
Last certification
Jun 16, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 12, 2019 in CO
Enrollment address
14221 E 4TH Ave
Ste 2-130
Aurora, CO 80011-8735

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mediguard Home Health Care IncCCN 067599
Ownership
Proprietary
Certified
Jun 16, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Mediguard Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Medhanet Gelaw Individual 5% Or Greater Direct Ownership Interest Aug 12, 2019 100%
Corporate OfficerPresident, Treasurer,Board Membe Aug 12, 2019
Corporate DirectorPresident, Treasurer, Board Mem, Aug 12, 2020
W-2 Managing EmployeePresident, Treasurere, Board Mem Aug 12, 2020
Elias Zewdie Individual Corporate OfficerVP, Secretary, Baord Member Aug 12, 2019
Corporate DirectorVP, Secretary, Bard Member Aug 12, 2019
W-2 Managing EmployeeVP, Secretary, Board Member Aug 12, 2019

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1932755428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE STE 2-130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118735",
            "telephone_number": "720-240-6950",
            "fax_number": "303-749-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE STE 2-130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118735",
            "telephone_number": "720-240-6950",
            "fax_number": "303-749-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIGUARD HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "GELAW",
        "authorized_official_first_name": "MEDHANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-240-6950"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.