A Physicians Home Care – Home Health Agency

Key facts

NPI: 1982170114
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: A PHYSICIANS HOME CARE
Practice address: 905 W Garden of the Gods Rd Suite F
Colorado Springs, CO 80907
Phone: (719) 434-2585
Fax: (719) 434-1791
NPI assigned: Oct 15, 2018
Organization subpart: Yes
Parent organization (as reported): A PHYSICIANS HOME CARE LLC

Authorized official

Name: Mr. Eric Samuel Gustafson
Title: Director of Operations
Phone: (719) 434-2585

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

A Physicians Home Care In Home Supportive Care Agency · Colorado Springs, CO · NPI 1417486531

NPPES parent name

Medicare Care Compare: Home health agency

Listed as: A Physicians Home Health CCN 067577
Ownership: Proprietary
Certified: Jun 7, 2019
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
06D2157855	A Physicians Home Health 905 W Garden of the Gods, Suite F, Colorado Springs, CO 80907	Certificate of waiver	Nov 13, 2026

National Provider Directory

Part of: A Physicians Home Care

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes

Addresses

Primary practice location

905 W Garden of the Gods Rd Suite F
Colorado Springs, CO 80907

Mailing address

905 W Garden of the Gods Rd Suite F
Colorado Springs, CO 80907
Phone (719) 434-2585

Other identifiers

Identifier	Type	State	Issuer
9000153168	Medicaid	CO

Other names

A Physicians Home Health Doing business as

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Home Health Agency in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.