Organization Active NPI

Life Care at Home of Colorado Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1952391286
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE CARE AT HOME OF COLORADO INC
Practice address
2121 S Blackhawk St
Suite 100
Aurora, CO 80014-1487
Phone
(303) 627-1170
Fax
(720) 886-9209
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Pam Rau
Title
VP of Finance
Phone
(423) 473-5280

Specialties & licenses 1

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

Addresses

Primary practice location

2121 S Blackhawk St
Suite 100
Aurora, CO 80014-1487

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5256

Other identifiers 1

IdentifierTypeStateIssuer
28009312MedicaidCO

Other names 1

  • Medical Investors of CO Former legal business name

National Provider Directory

National Provider Directory

Locations

2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000

177 Craft Dr
Ste 100
Alamosa, CO 81101
Phone (719) 589-6425

14499 E Hampden Ave
Aurora, CO 80014
Phone (303) 832-4222

806 S Public Rd
Ste 100
Lafayette, CO 80026
Phone (303) 666-7712

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1952391286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5256",
            "fax_number": "423-339-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S BLACKHAWK ST",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141487",
            "telephone_number": "303-627-1170",
            "fax_number": "720-886-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE AT HOME OF COLORADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-473-5280"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28009312",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Investors of CO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 28, 2012; 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.