CCN: 067613 NPI: 1699369223 Organization

OPTIMIZING HOME HEALTH IN THE SAN LUIS VALLEY

409 MAIN STREET
ANTONITO, CO 81120

Contact Information

Phone 7195802083
Enumeration Date 2021-02-24
Last Updated 2021-02-25

Taxonomies

Code: 163WH0200X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 06

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 06

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 06

providerType 36

operatingCostToChargeRatio 1.0

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 06

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 04112

localityCode 01

cbsaActualGeographicLocation 06

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 04112

localityCode 01