Organization Active NPI

Blue Spruce Home Care Inc.

  • In Home Supportive Care Agency
  • Denver, CO
National Provider Identifier
1992215404
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
04N224 Issued in CO
Legal business name
BLUE SPRUCE HOME CARE INC.
Practice address
6440 E Colfax Ave
Denver, CO 80220-1604
Phone
(303) 333-0100
Fax
(303) 322-3200
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Ruslan Loshak
Title
President
Phone
(303) 333-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 04N224 CO Primary

Addresses

Primary practice location

6440 E Colfax Ave
Denver, CO 80220-1604

Mailing address

6440 E Colfax Ave
Denver, CO 80220-1604
Phone (303) 333-0100

Other identifiers 1

IdentifierTypeStateIssuer
19677570MedicaidCO

Other names 1

  • Blue Spruce Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Spruce Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1992215404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201604",
            "telephone_number": "303-333-0100",
            "fax_number": "303-322-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201604",
            "telephone_number": "303-333-0100",
            "fax_number": "303-322-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRUCE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "LOSHAK",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-333-0100"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04N224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19677570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Spruce Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2017; 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.