STATEWIDE HEALTHCARE LLC


Address: 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916
Phone: 7194341513

STATEWIDE HEALTHCARE LLC (NPI# 1013463868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013463868
Entity Type Organization
Organization Name STATEWIDE HEALTHCARE LLC
Practice Address 2130 S. Academy Blvd.
#103
Colorado Springs
CO 80916
Mailing Address 2130 S. Academy Blvd
#103
Colorado Springs
CO 80916
Practice Telephone 7194341513
Mailing Telephone 7194341513
Enumeration Date 2016-08-31
Last Update Date 2018-01-25
Authorized Official Name MR. ANELECHI IHEOMAMERE (ADMINISTRATOR)
Authorized Official Telephone 7194341513
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care 041455 CO Agencies
N 385H00000X Respite Care Respite Care Facility
Y 376J00000X Homemaker Nursing Service Related Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295038982 Statewide Healthcare LLC Home Health 702 Andrews Ave, Lufkin, TX 75901-3302 2010-12-17

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities STATEWIDE HEALTHCARE LLC 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916

Office Location

Street Address 2130 S. ACADEMY BLVD.
#103
City COLORADO SPRINGS
State CO
Zip Code 80916

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NPI Name Taxonomy Address Enumeration
1740742022 Andrea Corrie Akins Counselor 2060 Jet Wing Drive, Colorado Springs, CO 80916 2019-04-04
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1437573557 Carla Jackson Contractor 3410 Cochran Dr # C, Colorado Springs, CO 80916 2014-02-10
1346385986 Occupational Health Centers of The Southwest Pa PC Clinic/Center 2322 S. Academy Blvd., Colorado Springs, CO 80916 2007-02-21
1457379893 Charlene Kay Czarnecki Nurse Practitioner 3029 So Academy Blvd, Colorodo Springs, CO 80916 2006-07-17
1952337206 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 2910 S Academy Blvd, Colorado Springs, CO 80916 2006-06-25
1629599758 Amanda M Bernheim Counselor 1795 Jet Wing Dr, Colorado Springs, CO 80916 2017-06-28
1710366166 Cassandra Bright Dental Hygienist 5925 Lehman Dr, Colorado Springs, CO 80916 2015-05-19
1992042626 Erica Palmer Psychologist 1795 Jet Wing Dr, Colorado Springs, CO 80916 2013-01-15
1548528250 Christina Alexis Sutton Hirsch Psychologist 1795 Jet Wing Dr, Colorado Springs, CO 80916 2012-05-01
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Taxonomy Information

Taxonomy Code 376J00000X
Grouping Nursing Service Related Providers
Classification Homemaker

Taxonomy Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851918536 Colorado Springs Senior Care, LLC D.b.a. Home Instead Homemaker 1955 N Union Blvd Ste 100, Colorado Springs, CO 80909-2213 2020-06-29
1952923179 Colorado Family Caregivers LLC Homemaker 10475 Elizabeth Way, Colorado Springs, CO 80908-1579 2020-05-11
1770133829 Glimmer of Hope Home Health Care LLP Homemaker 6842 Mescalero Dr, Colorado Springs, CO 80915-3110 2019-09-19
1518514876 Charity Cares Home Care Agency LLC Homemaker 2930 N Academy Blvd Ste 204, Colorado Springs, CO 80917-5342 2019-08-21
1043875271 Frances Elizabeth Machovina Homemaker 4360 Montebello Dr Ste 1100, Colorado Springs, CO 80918-7212 2019-05-02
1295221349 Gaining Independence With Jenevieve LLC Homemaker 427 E Colorado Ave # 225, Colorado Springs, CO 80903-3601 2018-07-02
1871006619 Peak Family Care Homemaker 4299 Brushridge Dr, Colorado Springs, CO 80918-6104 2017-11-15
1710415302 Forward Living Corporation Homemaker 4102 Nyala Dr, Colorado Springs, CO 80922-2436 2017-05-26
1235676206 Dungarvin Colorado, LLC - Colorado Springs Homemaker 805 N Murray Blvd Ste 201, Colorado Springs, CO 80915-3454 2017-01-27
1043420987 Janet Marie Vanostenbridge Homemaker 5245 Centennial Blvd Ste 202, Colorado Springs, CO 80919-4405 2007-05-22
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Competitor

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City COLORADO SPRINGS
Zip Code 80916

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Dataset Information

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.

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