NPI |
1144487257 |
|
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Organization Name Legal Business Name |
BETTER HOME CARE |
The first name of the provider, if the provider
is an individual. |
Provider First Line Business Practice Location Address |
2323 S TROY ST STE 1-230 |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
Provider Business Practice Location Address City Name |
AURORA |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
CO |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
800141980 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
3036710765 |
The State code in the location of the provider
being identified. |
Provider Enumeration Date |
5/19/2008 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
5/19/2008 |
The date that a record was last updated or changed. |
Authorized Official Last Name |
OVTCHINNIKOVA |
The date the provider was assigned a unique identifier (assigned an NPI). |
Authorized Official First Name |
LARISSA |
The first name of the authorized official. |
Authorized Official Title or Position |
EXECUTIVE DIRECTOR |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Authorized Official Telephone Number |
3036710765 |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
251E00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Other Provider Identifier 1 |
14570777 |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Other Provider Identifier Type Code 1 |
05 |
Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form. |
Other Provider Identifier State 1 |
CO |
|
Is Organization Subpart |
N |
|
Authorized Official Name Prefix Text |
DR. |
|