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STILLWATER HOME CARE AGENCY, LLC
NPI 1104173939
Home Health in Aurora, CO

Active since August 10, 2012
10660 E BETHANY DR, AURORA, CO 80014(303) 753-7577(719) 466-6172 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stillwater Home Care Agency, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STILLWATER HOME CARE AGENCY, LLC (NPI 1104173939) is a healthcare organization registered as a home health in Aurora, Colorado and active in the NPI registry since August 2012. The organization lists Irina Gavrilov, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104173939
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSTILLWATER HOME CARE AGENCY, LLC
Location Address10660 E BETHANY DRAurora, CO 80014-2602
Mailing Address10660 E Bethany DrAurora, CO 80014-2602 · (303) 753-7577 · Fax (719) 466-6172
Phone(303) 753-7577
Fax(719) 466-6172
Organization SubpartNo
Authorized OfficialIrina GavrilovAdministrator · (720) 298-9080
Enumeration DateAugust 10, 2012
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1104173939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
10660 E BETHANY DR, Aurora, CO 80014
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Other Identifiers 1

Medicaid17326265CO

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stillwater Home Care Agency, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20120921000281Part A · Home Health AgencyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2048850

Stillwater Home Care Agency · Aurora, CO
Expired · Oct 23, 2026
CLIA Number06D2048850
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorIrina Gavrilov
Laboratory Phone(303) 753-7577
Laboratory LocationStillwater Home Care Agency10660 E Bethany Dr, Aurora, CO 80014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Stillwater Home Care Agency LLC (CMS certification number 067510), from CMS Care Compare.

Stillwater Home Care Agency LLC

Home health agency · Aurora, CO
OwnershipProprietary
CMS Certification Number067510
Medicare-Certified SinceJune 4, 2013
Phone(303) 753-7577
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Potentially preventable hospital readmissions after discharge
Cases too small to report
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVID RESOURCE GROUP, LTD
Case Management
10660 E BETHANY DR
AURORA, CO 80014
Arapahoe County (720) 226-1907
AFFECTIONATE TRANSITION AGENCY
Home Health
10660 E BETHANY DR
AURORA, CO 80014
Arapahoe County (609) 372-6362
AFFECTIONATE TRANSITION AGENCY
In Home Supportive Care
10660 E BETHANY DR
AURORA, CO 80014
Arapahoe County (609) 372-6362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stillwater Home Care Agency, LLC's NPI number?

The NPI number for Stillwater Home Care Agency, LLC is 1104173939. It was assigned to this organization in the NPPES registry on August 10, 2012.

Where is Stillwater Home Care Agency, LLC located?

Stillwater Home Care Agency, LLC is located at 10660 E Bethany Dr, Aurora, CO 80014. The listed phone number is (303) 753-7577.

What is Stillwater Home Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Stillwater Home Care Agency, LLC enrolled in Medicare?

Yes. Stillwater Home Care Agency, LLC is registered in the Medicare PECOS enrollment system.

When is Stillwater Home Care Agency, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Colorado, Home Health Agency) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Stillwater Home Care Agency, LLC a Medicare-certified home health agency?

Yes. Stillwater Home Care Agency LLC is a Medicare-certified home health agency, certified since June 4, 2013.

When was this NPI record last updated?

The NPPES record for Stillwater Home Care Agency, LLC was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.