MGA HOME HEALTHCARE PUEBLO, LLC (NPI# 1386139517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386139517 |
| Entity Type | Organization |
| Organization Name | MGA HOME HEALTHCARE PUEBLO, LLC |
| Other Organization Name | MGA HOMECARE |
| Practice Address |
1305 Fortino Blvd Unit B Pueblo CO 81008-2032 |
| Mailing Address |
7025 N Scottsdale Rd Ste 200 Scottsdale AZ 85253-3675 |
| Practice Telephone | 7195822702 |
| Mailing Telephone | 6025081883 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DANIEL ZALK (ADMINISTRATOR) |
| Authorized Official Telephone | 7195822702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CO | Agencies |
| Other Name | Type Code |
|---|---|
| MGA Homecare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MGA Home Healthcare Pueblo, LLC | 1305 Fortino Blvd., Suite B, Pueblo, CO 81008 |
| Street Address |
1305 FORTINO BLVD UNIT B |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144915 | Interim Healthcare of Southeastern Colorado, Inc. | Home Health | 720 N Main St Ste 400, Pueblo, CO 81003-3048 | 2019-09-20 |
| 1649666801 | About Kids Home Care, LLC | Home Health | 201 W 8th St Ste 435, Pueblo, CO 81003-3000 | 2015-04-14 |
| 1194162594 | Aim Home Health LLC | Home Health | 511 W 26th St, Suite B, Pueblo, CO 81003-3633 | 2013-05-27 |
| 1346514676 | Communi-care LLC | Home Health | 221 S Union Ave, Pueblo, CO 81003-3490 | 2012-03-05 |
| 1205076296 | Human Touch Home Health Care Agency Inc Pueblo | Home Health | 1008 W Abriendo Ave, Pueblo, CO 81004-1128 | 2009-03-03 |
| 1598943342 | Ark-valley Home & Health Care Services, LLC | Home Health | 249 S Santa Fe Ave, Pueblo, CO 81003-4220 | 2008-02-04 |
| 1275751505 | Angel Care Inc. | Home Health | 418 W 12th St, Pueblo, CO 81003-2815 | 2007-04-23 |
| 1336264720 | Professional Home Health Care, Inc. | Home Health | 1424 N Main St Ste B, Pueblo, CO 81003-3714 | 2007-03-21 |
| 1093864209 | Abc Home Health Care, Inc. | Home Health | 2320 N Grand Ave, Pueblo, CO 81003-2472 | 2007-01-09 |
| 1780752436 | Complete Home Health Care, LLC | Home Health | 805 Eagleridge Blvd, Pueblo, CO 81008-2193 | 2006-12-01 |
| Find all providers in PUEBLO | ||||
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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.