VIDACARE LLC (NPI# 1609488824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609488824 |
| Entity Type | Organization |
| Organization Name | VIDACARE LLC |
| Practice Address |
11990 Grant St Ste 550 Northglenn CO 80233-1101 |
| Practice Telephone | 3035210617 |
| Mailing Telephone | 3035210617 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | DENISSE COUSIN (OWNER) |
| Authorized Official Telephone | 3035210617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
11990 GRANT ST STE 550 |
| City | NORTHGLENN |
| State | CO |
| Zip Code | 80233-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487869954 | Community Advantage, Inc | Day Training, Developmentally Disabled Services | 11990 Grant St Ste 550, Northglenn, CO 80233-1101 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| 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 |
|---|---|---|---|---|
| 1356770473 | Allay Home Care | In Home Supportive Care | 11154 Huron St Ste 106, Northglenn, CO 80234-2329 | 2013-11-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTHGLENN |
| Zip Code | 80233 |
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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.