Organization · Type 2 NPI

Columbine Poudre Home Care, LLC

Home Health Agency · Fort Collins, CO

NPI number 1114630852 Active

Practice location

915 Centre Ave Ste 2
Fort Collins, CO 80526-6046

Call (970) 482-5096 Map

Fax (970) 224-2518

Mailing address

802 W Drake Rd Ste 101
Fort Collins, CO 80526-5567

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Personal Care Attendant	3747P1801X	None listed
Home Health Aide	374U00000X	None listed

Home Health Agency: 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 organ…

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NPI record

NPI: 1114630852
Entity type: Organization (Type 2)
Issued: Dec 27, 2022
Last updated: Dec 27, 2022
Status: Active
Subpart: Yes of Columbine Poudre Home Care, LLC

Other names

<unavail>
Bloom at Home · doing business as
Bloom at Home · doing business as
Columbine Poudre Home Care, LLC Bloom at Home · doing business as

Authorized official

Barry K Fancher
CFO
(970) 482-0198

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114630852

Columbine Poudre Home Care, LLC's National Provider Identifier is 1114630852, issued on Dec 27, 2022. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 27, 2022.