ESSENTIAL EMBODIMENT LLC (NPI# 1245766716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245766716 |
Entity Type | Organization |
Organization Name | ESSENTIAL EMBODIMENT LLC |
Practice Address |
120 W Main St Suite D Cedaredge CO 81413 |
Practice Telephone | 9708081122 |
Mailing Telephone | 9708081122 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |
Authorized Official Name | TINS MARIE SWOFFER (OWNER) |
Authorized Official Telephone | 9707789663 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251F00000X | Home Infusion | 12181974 | CO | Agencies |
Y | 253Z00000X | In Home Supportive Care | 4272017 | CO | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 4272017 | 05 |
Street Address |
120 W MAIN ST SUITE D |
City | CEDAREDGE |
State | CO |
Zip Code | 81413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194066910 | Dottie Marie Williams-whitlock | Massage Therapist | 735 S. Grand Mesa Drive, Cedaredge, CO 81413 | 2013-03-04 |
1194897447 | Cedaredge Pharmacy Inc. | Pharmacy | 215 W. Main St, Cedaredge, CO 81413 | 2006-11-14 |
1972689933 | Kendra Kinney | Social Worker | 195 West Main, Cedaredge, CO 81413 | 2006-10-31 |
1326648254 | Surface Creek Family Practice PC | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413 | 2020-10-29 |
1053625798 | Julie Ann Fournier | Nurse Practitioner | 255 Sw 8th Ave, Surface Creek Family Practice, Cedaredge, CO 81413 | 2010-08-05 |
1003349093 | John George Breitnauer Jr. | Pharmacist | 215 W Main St, Cedaridge, CO 81413-1044 | 2017-04-06 |
1316429848 | Millennium Regenerative Medicine, Inc. | Clinic/Center | 175 E Main St, Cedaredge, CO 81413-3331 | 2018-08-31 |
1265633606 | Christin Dawn Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-05-31 |
1093849564 | Timothy Parker Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-03-15 |
1346243516 | Terry S Wade | Family Medicine | 255 S Grand Mesa Dr, Cedaredge, CO 81413-3822 | 2005-05-23 |
Find all providers in zip 81413 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205435021 | Jason Todd Gregory | In Home Supportive Care | 2130 S Academy Blvd Ste 201, Colorado Springs, CO 80916-2473 | 2020-10-22 |
1366041295 | Laura Lee Bohlen | In Home Supportive Care | 321 Mayeda St, Brighton, CO 80601-4669 | 2020-10-21 |
1073112207 | Santa Fe Trail Senior Services Inc | In Home Supportive Care | 3720 Sinton Rd Ste 130, Colorado Springs, CO 80907-5085 | 2020-10-19 |
1225636186 | Hans Homecare Inc | In Home Supportive Care | 911 S Havana St Ste E, Aurora, CO 80012-3034 | 2020-10-13 |
1306444690 | Affirmative Home Care LLC | In Home Supportive Care | 7435 S Norfolk St, Aurora, CO 80016-1470 | 2020-10-09 |
1740887405 | Jackie Rae Hiner | In Home Supportive Care | 121 W Beech St, Lamar, CO 81052-2731 | 2020-10-06 |
1679170534 | Heart Home Health Inc | In Home Supportive Care | 200 Colorado Ave Apt 2105, Parachute, CO 81635-9615 | 2020-10-05 |
1972117554 | El Bethel House of Care Agency LLC | In Home Supportive Care | 25950 E 3rd Ave, Aurora, CO 80018-1635 | 2020-09-01 |
1346854171 | Colorado Springs Co Caregiving LLC | In Home Supportive Care | 6645 Delmonico Dr Ste 201, Colorado Springs, CO 80919-1892 | 2020-08-31 |
1003426990 | Ability Advocates LLC | In Home Supportive Care | 3620 N Saint Paul St, Denver, CO 80205-3650 | 2020-08-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.