BACA HOME CARE AGENCY, INC (NPI# 1699253989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253989 |
| Entity Type | Organization |
| Organization Name | BACA HOME CARE AGENCY, INC |
| Practice Address |
681 W 5th Ave Springfield CO 81073-1208 |
| Practice Telephone | 7195233158 |
| Mailing Telephone | 7195233158 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MR. TYLER K GIBSON (OWNER/MANAGER) |
| Authorized Official Telephone | 7195233158 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Baca Home Care Agency, Inc. | 681 W 5th Ave, Springfield, CO 81073 |
| Street Address |
681 W 5TH AVE |
| City | SPRINGFIELD |
| State | CO |
| Zip Code | 81073-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124031190 | County Commissioners of Baca | Public Health or Welfare | 741 Main Street, Suite #4, Springfield, CO 81073 | 2006-08-14 |
| 1609944313 | Antonio S Manalo | Family Medicine | 900 Church St, Springfield, CO 81073 | 2006-12-01 |
| 1922176643 | Staci Faye Bishop | Physician Assistant | 373 East 10th Avenue, Springfield, CO 81073-0000 | 2006-12-01 |
| 1316107972 | Leeanna Turner | Registered Nurse | 700 Colorado St, Springfield, CO 81073-1425 | 2008-06-16 |
| 1225340060 | Chambrey Ann Johnson | Occupational Therapist | 900 Hill St, Springfield, CO 81073-1435 | 2010-07-09 |
| 1457472086 | Baca County Department of Social Services | Case Manager/Care Coordinator | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-04-02 |
| 1548704729 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2016-12-07 |
| 1740489947 | Baca County Department of Social Services | Case Management | 772 Colorado St, Suite 1, Springfield, CO 81073-1456 | 2007-07-17 |
| 1922250976 | County Commissioners of Baca | Registered Nurse | 741 Main St, Suite #4, Springfield, CO 81073-1548 | 2008-10-21 |
| 1194191288 | Jessami Caddick | Registered Nurse | 741 Main St, 4, Springfield, CO 81073-1548 | 2015-08-12 |
| Find all providers in zip 81073 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700366 | Shawn Carpenter Jr. | Homemaker | 1567 Regent Ave, Springfield, OH 45503-5967 | 2020-11-03 |
| 1407454846 | Jimmie Howard | Homemaker | 805 N Limestone St Ste B, Springfield, OH 45503-3609 | 2020-10-16 |
| 1598372765 | Michael Brassfield | Homemaker | 1812 S Center Blvd, Springfield, OH 45506-3133 | 2020-09-30 |
| 1154937944 | Tanya Evans | Homemaker | 226 W Parkwood Ave, Springfield, OH 45506-2703 | 2020-09-17 |
| 1750432134 | Mary Anne Davis | Homemaker | 2266 Seminole Ave, Springfield, OH 45506-3241 | 2007-01-14 |
| 1841891272 | Katelyn Marie Boyd | Homemaker | 1567 Regent Ave, Springfield, OH 45503-5967 | 2020-11-03 |
| 1891179834 | Preferred Family Healthcare, Inc. | Homemaker | 1111 S Glenstone Ave, Springfield, MO 65804-0338 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566819 | Alicia Nicole Petri | Homemaker | 218 N 2nd Street, Cripple Creek, CO 80813-8081 | 2020-10-19 |
| 1477171148 | Gabriela Guevara | Homemaker | 19399 County Road 25, Platteville, CO 80651 | 2020-07-09 |
| 1992322408 | Mary Catherine Walentosky | Homemaker | 3300 S Glencoe St, Denver, CO 80222-7520 | 2020-06-30 |
| 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 |
| 1891311726 | Caregivers Village Colorado LLC | Homemaker | 6252 Powell Rd, Parker, CO 80134-5619 | 2020-06-16 |
| 1104449768 | A Clean Team, LLC | Homemaker | 2800 Worthington Ave, Fort Collins, CO 80526-2659 | 2020-05-18 |
| 1952923179 | Colorado Family Caregivers LLC | Homemaker | 10475 Elizabeth Way, Colorado Springs, CO 80908-1579 | 2020-05-11 |
| 1265068886 | Katherine Andrea Aragon | Homemaker | 2000 Oneal Pl, Pueblo, CO 81004-3880 | 2020-03-15 |
| 1811529571 | Mosaik Kreations II LLC | Homemaker | 7384 E Princeton Ave, Denver, CO 80237-2386 | 2020-02-10 |
| 1033750906 | Yucare Home Health Inc | Homemaker | 1450 S Havana St Ste 834, Aurora, CO 80012-4018 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 81073 |
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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.