GRACEWOOD HOME HEALTH AGENCY LLC (NPI# 1700399417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700399417 |
| Entity Type | Organization |
| Organization Name | GRACEWOOD HOME HEALTH AGENCY LLC |
| Practice Address |
107 S Blueridge Ct Fort Collins CO 80524-8808 |
| Mailing Address |
1281 E Magnolia St Unit D-107 Fort Collins CO 80524-4796 |
| Practice Telephone | 9704608494 |
| Practice Fax Number | 9704932211 |
| Mailing Telephone | 9704608494 |
| Mailing Fax Number | 9704932211 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | MRS. CATHERINE A BEACH (CO-OWNER) |
| Authorized Official Telephone | 9704608494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Gracewood Home Health Agency LLC | 107 S. Blueridge Court, Fort Collins, CO 80524 |
| Street Address |
107 S BLUERIDGE CT |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-8808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145920 | Sierra Diane Gartner | Technician | 1613 Prospect Park Way Ste 110, Fort Collins, CO 80525-9707 | 2019-07-09 |
| 1184623977 | Columbine Poudre Home Care, LLC | Technician | 915 Centre Ave, Suite 2, Fort Collins, CO 80526-6045 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294973 | Jacob P. Sorum | Technician | 30690 Highway 72, Golden, CO 80403-8467 | 2020-10-28 |
| 1821603788 | Adrian Green | Technician | 4525 Crow Creek Dr, Colorado Springs, CO 80922-4614 | 2020-09-08 |
| 1558917542 | Connie Jean Meckley | Technician | 4112 E Weaver Pl, Centennial, CO 80121-3256 | 2019-08-14 |
| 1083278139 | Tamara Smith | Technician | 5940 Nora Pt Apt 103, Colorado Springs, CO 80919-3735 | 2019-04-24 |
| 1346712213 | Comfort Home Healthcare, LLC | Technician | 1582 S Parker Rd Ste 300b, Denver, CO 80231-2717 | 2018-12-17 |
| 1235633942 | Ahmed Alsubaihawi | Technician | 7480 Teller St, Arvada, CO 80003-2752 | 2018-03-19 |
| 1467965285 | Rocky Mountain Care LLC | Technician | 9615 Hardin Rd, Colorado Springs, CO 80908-4167 | 2017-11-15 |
| 1720599830 | Jeanell Jonour | Technician | 519 Fruitwood Dr, Grand Junction, CO 81504-5740 | 2017-10-16 |
| 1972021921 | Fatima Abdelmeged | Technician | 2839 S Lansing Way, Aurora, CO 80014-3086 | 2017-08-30 |
| 1518497676 | Karina Lynn Strand-rogers | Technician | 1825 Starstone Ct, Colorado Springs, CO 80919-2912 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on GRACEWOOD HOME HEALTH AGENCY 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.