CENTENNIAL HOME CARE, LLC (NPI# 1922514132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922514132 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL HOME CARE, LLC |
| Other Organization Name | CENTENNIAL HOME CARE |
| Practice Address |
785 Russell St Craig CO 81625-2019 |
| Mailing Address |
750 Hospital Loop Craig CO 81625-8750 |
| Practice Telephone | 9708262421 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | MARK A ANDERSON (W-2 MANAGING EMPLOYEE) |
| Authorized Official Telephone | 8019423311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 17A418 | CO | Agencies |
| Other Name | Type Code |
|---|---|
| CENTENNIAL HOME CARE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780724559 | Centennial Home Care, LLC | Home Health | 487 Yampa Avenue, Craig, CO 81625-2609 | 2007-02-08 |
| 1194260844 | Centennial Home Care, LLC | Home Health | 6740 Huntley Rd, Suite 208, Columbus, OH 43229-1064 | 2017-01-04 |
| Street Address |
785 RUSSELL ST |
| City | CRAIG |
| State | CO |
| Zip Code | 81625-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171398 | Cinde K Porter | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2005-08-19 |
| 1245843481 | Scl Health Medical Group - Grand Junction, LLC | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2020-08-27 |
| 1396139507 | The Memorial Hospital | Clinic/Center | 785 Russell St, Craig, CO 81625-2019 | 2015-03-25 |
| 1649673807 | Margaret Schoeberl | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2014-10-02 |
| 1851723332 | Derek Harper | Podiatrist | 785 Russell St, Craig, CO 81625-2019 | 2013-08-06 |
| 1780984021 | Evan C Fleming | Physician Assistant | 785 Russell St, Craig, CO 81625 | 2010-11-02 |
| 1154583094 | Kathleen C. Keating | Obstetrics & Gynecology | 785 Russell St, Craig, CO 81625-2019 | 2008-07-01 |
| 1306038492 | Tracey Wall | Physician Assistant | 785 Russell St, Craig, CO 81625-2019 | 2007-08-14 |
| 1538365986 | Elise D Sullivan | Family Medicine | 785 Russell St, Craig, CO 81625-2019 | 2007-06-22 |
| 1760686539 | Kevin Scott Borchard | Orthopaedic Surgery | 785 Russell St, Craig, CO 81625-2019 | 2007-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
| 1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
| 1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
| 1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
| 1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
| 1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
| 1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
| 1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
| 1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
| 1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
| Find all providers in zip 81625 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1760093470 | 247 Home Health Care Ltd | Hospice Care, Community Based | 8055 E Tufts Ave Ste 250, Denver, CO 80237-2857 | 2020-08-14 |
| 1649893306 | Silver Linings Hospice Colorado Corp | Hospice Care, Community Based | 6450 S Quebec St Ste 650, Centennial, CO 80111-4728 | 2020-05-28 |
| 1114540747 | Craft Hospice LLC | Hospice Care, Community Based | 1790 30th St Ste 350, Boulder, CO 80301-1071 | 2020-05-18 |
| 1699398230 | Colorado Palliative & Hospice Care of Northern Colorado LLC | Hospice Care, Community Based | 6551 S Revere Pkwy Ste 125, Centennial, CO 80111-6468 | 2020-05-18 |
| 1487275590 | Alliant Palliative Care and Hospice Co LLC | Hospice Care, Community Based | 12995 Sheridan Blvd Ste 205, Broomfield, CO 80020-1480 | 2020-04-29 |
| 1922636554 | Fateesha Cornelia Belcher | Hospice Care, Community Based | 13620 E Iliff Pl, Aurora, CO 80014-6512 | 2020-03-30 |
| 1568094076 | Life Choice Hospice of Colorado, LLC | Hospice Care, Community Based | 3760 E 15th St Ste 201, Loveland, CO 80538-7011 | 2020-02-12 |
| 1518515287 | Solaris Hc Co Inc | Hospice Care, Community Based | 150 Morning Sun Dr Ste 202, Woodland Park, CO 80863-9160 | 2019-08-27 |
| 1578121059 | Lumicare Health Co 1 LLC | Hospice Care, Community Based | 6200 S Syracuse Way Ste 200, Greenwood Village, CO 80111-4739 | 2019-05-30 |
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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.