CENTENNIAL SHC, LLC (NPI# 1013440080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013440080 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL SHC, LLC |
| Other Organization Name | SAFE HOMECARE |
| Practice Address |
3033 S Parker Rd Ste. 220 Aurora CO 80014-2910 |
| Practice Telephone | 7202427959 |
| Mailing Telephone | 7202427959 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | ADAM KRUEGER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7202427959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 04P890 | CO | Agencies |
| Other Name | Type Code |
|---|---|
| SAFE HOMECARE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CENTENNIAL SHC, LLC | 4380 S. Syracuse Street, Suite 500, Denver, CO 80237 |
| Street Address |
3033 S PARKER RD STE. 220 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801879994 | Avista Emergency Physicians, P.C. | Emergency Medicine | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2005-11-22 |
| 1124571567 | Bonnie Jeanne Boudakian | Registered Nurse | 3033 S Parker Rd, Suite 300, Aurora, CO 80014-2910 | 2016-08-02 |
| 1801124417 | Lindy L Thornbloom | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2009-11-20 |
| 1215262431 | Joseph E Shankland | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2009-10-06 |
| 1750545687 | James Kim | Chiropractor | 3033 S Parker Rd, Suite 450, Aurora, CO 80014-2910 | 2008-07-10 |
| 1548428360 | Mary Beth Kalmeyer | Nurse Practitioner | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2008-05-29 |
| 1952588733 | Heather T Porst | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2008-01-24 |
| 1225210966 | Kristine R Hunerwadel | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2007-12-05 |
| 1982886321 | Sara E Michael | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2007-11-28 |
| 1972784502 | Clint T Dillard | Physician Assistant | 3033 S Parker Rd, Ste 800, Aurora, CO 80014-2910 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1427665371 | Ronald James Suhadolnik Jr. | In Home Supportive Care | 450 Sycamore Ln Apt 109, Aurora, OH 44202-7634 | 2020-09-24 |
| 1972117554 | El Bethel House of Care Agency LLC | In Home Supportive Care | 25950 E 3rd Ave, Aurora, CO 80018-1635 | 2020-09-01 |
| 1063059400 | United Senior Care LLC | In Home Supportive Care | 5285 S Picadilly Way, Aurora, CO 80015-5012 | 2019-12-04 |
| 1497391940 | 101 Home Care LLC | In Home Supportive Care | 4791 S Himalaya Ct, Aurora, CO 80015-6609 | 2019-11-20 |
| 1114569704 | Everest Solutions, Inc. | In Home Supportive Care | 75 Executive Dr Ste 104, Aurora, IL 60504-8150 | 2019-10-15 |
| 1659928604 | Tlc Connection | In Home Supportive Care | 4786 S Buchanan St, Aurora, CO 80016-5947 | 2019-08-23 |
| 1558820506 | On Going Home Health Care Limited | In Home Supportive Care | 2851 South Parker Road, Suite 132, Aurora, CO 80014-0003 | 2019-03-19 |
| 1871059865 | Amaris Home Health Care Agency | In Home Supportive Care | 14901 E Hampden Ave Ste 230, Aurora, CO 80014-5055 | 2019-02-14 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on CENTENNIAL SHC, LLC.
| 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.