NPIMap

Organization Active NPI

Preferred Homecare of Colorado, LLC

  • Oxygen Equipment & Supplies (DME)
  • Lakewood, CO
National Provider Identifier
1972505113
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PREFERRED HOMECARE OF COLORADO, LLC
Practice address
6900 W Jefferson Ave
Ste 125
Lakewood, CO 80235-2002
Phone
(303) 783-1700
Fax
(303) 788-0123
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Teri L Jamison
Title
Government Compliance Manager
Phone
(480) 446-9010

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Home Infusion Therapy Pharmacy 3336H0001X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

6900 W Jefferson Ave
Ste 125
Lakewood, CO 80235-2002

Mailing address

PO Box 40700
Mesa, AZ 85274-0700
Phone (480) 446-9010

Other identifiers 3

IdentifierTypeStateIssuer
99984318MedicaidCO
19472374MedicaidCO
29987814MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Preferred Homecare of Colorado LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1972505113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "480-446-9010",
            "fax_number": "480-993-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 W JEFFERSON AVE",
            "address_2": "STE 125",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352002",
            "telephone_number": "303-783-1700",
            "fax_number": "303-788-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOMECARE OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GOVERNMENT COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99984318",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19472374",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29987814",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.