MOUNTAIN HOME MEDICAL (NPI# 1598816753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598816753 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HOME MEDICAL |
| Practice Address |
226 Illini Dr Woodland Park CO 80863-8747 |
| Practice Telephone | 7196867504 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAN NICHOLSON (OWNER) |
| Authorized Official Telephone | 7193319861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02800586 | 05 |
| Street Address |
226 ILLINI DR |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1003461476 | Alive Connections Counseling, LLC | Community/Behavioral Health | 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 | 2019-08-02 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841712080 | Jamie Andersen | Marriage & Family Therapist | 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 | 2017-07-10 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1255788402 | Colorado Lions Camp Inc | Respite Care | 28541 Highway 67, Wooodand Park, CO 80863 | 2016-05-18 |
| 1619337193 | Ariana Papi | Specialist/Technologist, Other | 16240 W Hwy 24, Woodland Park, CO 80863 | 2016-02-26 |
| 1104281864 | Daybreak-an Adult Day Program | Respite Care | 404 North Highway 67, Woodland Park, CO 80863 | 2015-12-23 |
| 1104281906 | Kingdom Pediatric Therapy | Speech-Language Pathologist | 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 | 2015-12-21 |
| Find all providers in zip 80863 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598164154 | Tod Mckercher | Personal Emergency Response Attendant | 5100 S Picadilly St, Eaglecrest High School, Aurora, CO 80015-3300 | 2014-08-20 |
| 1457784217 | Mohamed Mennana | Personal Emergency Response Attendant | 6453 S Dayton St, Englewood, CO 80111-5550 | 2013-08-15 |
| 1245353283 | Mark Nathan Lowenthal | Personal Emergency Response Attendant | 955 Eudora St, 602e, Denver, CO 80220-4334 | 2007-04-06 |
| 1962424374 | Sean Mcmillan | Personal Emergency Response Attendant | 7070 W 117th Ave, Unit C, Broomfield, CO 80020-2923 | 2006-07-24 |
| 1700859469 | Gayle A Humm | Personal Emergency Response Attendant | 17060 Oxbridge Rd, Monument, CO 80132-7930 | 2006-02-10 |
| 1538131701 | Donald John Ross | Personal Emergency Response Attendant | 1595 W Costilla St, Colorado Springs, CO 80904-4277 | 2006-02-02 |
| 1467880203 | Joshua Segura | Personal Emergency Response Attendant | 560 Pine St, Del Norte, CO 81132-2243 | 2013-10-14 |
| 1003183260 | Erin Lin | Personal Emergency Response Attendant | 6455 S Yosemite St, 6th Floor, Greenwood Village, CO 80111-5139 | 2011-11-16 |
| 1235336348 | Eben Ezer In-home Services | Personal Emergency Response Attendant | 122 Hospital Rd, Brush, CO 80723-1702 | 2007-07-02 |
| 1538388400 | Robert Gruver | Personal Emergency Response Attendant | 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
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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.