Clinton Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04B302 Issued in CO

Legal business name

CLINTON HOME CARE, INC.

Practice address

10640 E Bethany Dr Ste 201
Aurora, CO 80014

Phone

(303) 872-3499

Fax

(303) 872-3661

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Lan Wang

Title

Owner/Manager

Phone

(303) 872-3499

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1952851735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 E BETHANY DR STE 201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142640",
            "telephone_number": "303-872-3499",
            "fax_number": "303-872-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 E BETHANY DR STE 201",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "303-872-3499",
            "fax_number": "303-872-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "303-872-3499"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04B302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6460463",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Todd Cline
• Mitchell Grant Clingo, MD
• Clinica Dental Latina
• Clinica Denver PCD Ba Rocky (Clinica Denver Urgent Care)
• Clinton Durable Medical Equipment LLC
• Alexander Nicholas Clinton
• Shantel S Clinton
• Samantha Clopper, M.A., LPC
• Rachel Gabrielle Clopton, MD
• Alyssa Jeanne Clore, PA-C

• In Home Supportive Care Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.