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Contact Information

COLUMBINE POUDRE HOME CARE, LLC
915 CENTRE AVE
SUITE 2
FORT COLLINS, CO80526-6045
 Phone: 970-482-5096
 Fax: 970-224-2518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for COLUMBINE POUDRE HOME CARE, LLC

NPI Number 1184623977
LBN Legal business name COLUMBINE POUDRE HOME CARE, LLC
Authorized official J. WILSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2005
Last updated 11/12/2025 - About 7 months ago
Identifiers
CO Medicaid 29286573
CO Medicaid 36373036
Other 638551 BCBS PROVIDER #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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