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MOUNTAIN HOME MEDICAL NPI 1598816753


NPI Information

NPI: 1598816753
Provider Name: MOUNTAIN HOME MEDICAL
Classification: Personal Emergency Response Attendant - 146D00000X
Entity Type: Organization
Address:
226 ILLINI DR
WOODLAND PARK, CO
ZIP 80863
Phone: (719) 686-7504
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MOUNTAIN HOME MEDICAL is a personal emergency response attendant in Woodland Park, CO. The provider is 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. MOUNTAIN HOME MEDICAL NPI is 1598816753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

226 ILLINI DR
WOODLAND PARK, CO
ZIP 80863-747
Phone: (719) 686-7504

The provider's authorized official is Dan Nicholson .
The authorized official title is Owner and has the following contact phone number (719) 331-9861.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146D00000XPersonal Emergency Response AttendantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102800586MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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