Organization Active NPI

First Care of Colorado, Inc

  • In Home Supportive Care Agency
  • Denver, CO
National Provider Identifier
1982143947
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
04H951 Issued in CO
Legal business name
FIRST CARE OF COLORADO, INC
Practice address
6825 E Tennessee Ave Ste 500
Denver, CO 80224-1633
Phone
(720) 440-9226
Fax
(720) 612-7362
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Dimitry Gershman
Title
President
Phone
(303) 246-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 04H951 CO Primary

Addresses

Primary practice location

6825 E Tennessee Ave Ste 500
Denver, CO 80224-1633

Mailing address

78 Jackson St Unit H
Denver, CO 80206-5586
Phone (303) 246-1290

Other identifiers 1

IdentifierTypeStateIssuer
80320279MedicaidCO

National Provider Directory

National Provider Directory

Locations

6825 E Tennessee Ave
Ste 500
Denver, CO 80224
Phone (720) 440-9226

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1982143947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 JACKSON ST UNIT H",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065586",
            "telephone_number": "303-246-1290",
            "fax_number": "303-993-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241633",
            "telephone_number": "720-440-9226",
            "fax_number": "720-612-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE OF COLORADO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "GERSHMAN",
        "authorized_official_first_name": "DIMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-246-1290"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04H951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80320279",
            "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 Jul 12, 2021; 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.