KODIAK CORPORATION


Address: 1021 E South Boulder Rd Ste L, Louisville, CO 80027-2548
Phone: 7207380044

KODIAK CORPORATION (NPI# 1386264026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386264026
Entity Type Organization
Organization Name KODIAK CORPORATION
Practice Address 1021 E South Boulder Rd Ste L
Louisville
CO 80027-2548
Mailing Address 1510 Cleveland Ave
Loveland
CO 80538-3836
Practice Telephone 7207380044
Practice Fax Number 7207380045
Mailing Telephone 3039159848
Mailing Fax Number 7207380045
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Authorized Official Name CHARLES W. NEW JR. (OWNER/PRESIDENT)
Authorized Official Telephone 3039159848
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care Agencies

Other Provider/Organization Names

Other Name Type Code
ComForCare In Home Care - Southern Weld and Boulder Counties Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Kodiak Corporation 451 Oak Street, Suite 207, Frederick, CO 80530
Massachusetts Corporations KODIAK CORPORATION 65 Glenn St., Lawrence, MA 01843

Office Location

Street Address 1021 E SOUTH BOULDER RD STE L
City LOUISVILLE
State CO
Zip Code 80027-2548

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1740794031 Elise Nicole Brucks Speech-Language Pathologist 1007 Century Drive, Louisville, CO 80027 2017-11-22
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912519810 Natalie Calhoun Nursing Care 6706 Wyckoff Court, Louisville, KY 40258 2020-08-20
1215447461 Zachery Seeden Nursing Care 1328 E Main St Apt 116, Louisville, OH 44641-1967 2017-10-02
1790972768 Capacity Care,inc Nursing Care 4033 Taylorsville Rd, Suite 100, Louisville, KY 40220-1521 2007-10-03
1245375682 South Louisville Community Ministries Adult Day Center Nursing Care 4100 Southern Pkwy, Louisville, KY 40214-1648 2007-02-21
1922040815 Jewish Hospital & St. Mary's Healthcare, Inc. Nursing Care 539 S 4th St, Louisville, KY 40202-2535 2006-06-12
1134668783 Almost Family PC of Kentucky, LLC Nursing Care 4545 Bishop Ln, Suite 201, Louisville, KY 40218-4569 2017-02-15
1144618265 Maxim Healthcare Services, Inc. Nursing Care 9420 Bunsen Pkwy, Suite 110, Louisville, KY 40220-3700 2014-12-23
1861745200 Edumedics, LLC Nursing Care 201 E Jefferson St, Suite 301, Louisville, KY 40202-1246 2012-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609406743 American Trusted Nurses Nursing Care 6943 Glencoe Dr, Commerce City, CO 80022-1985 2020-01-16
1457807778 Amrita Singh Comer Nursing Care 2111 Champa Street, Denver, CO 80206 2016-08-28
1366850398 Lauren Lauchli Nursing Care 9619 Lou Dr, Northglenn, CO 80260-5536 2014-07-22
1598176570 Genesis Rehabilitation Nursing Care 2663 Eagle Ridge Dr, Grand Junction, CO 81503-3413 2014-05-13
1740611763 Alternative Health Styles Nursing Care 12209 W 2nd Pl, 4301, Lakewood, CO 80228-1562 2013-12-01
1164761847 Goss Goods Nursing Care 19033 E Molly Ave, Parker, CO 80134 2013-01-31
1861758161 Soul Attention, LLC Nursing Care 1355 S 8th St Ste 207, Colorado Springs, CO 80905-7022 2012-04-11
1194096164 Lopez Surgical Inc. Nursing Care 2553 South Fundy Circle, Aurora, CO 80013 2012-01-23
1760781306 Ameriquest Personnel, Inc. Nursing Care 275 S Jay St, Lakewood, CO 80226-2259 2011-03-22
1821226309 Supplemental Health Care Nursing Care 7200 S Alton Way Ste C250, Centennial, CO 80112-2349 2009-06-23
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Competitor

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City LOUISVILLE
Zip Code 80027

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Dataset Information

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.

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