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BLOOM AT HOME
NPI 1114630852
Home Health in Fort Collins, CO

Active since December 27, 2022CLIA 06D0670066 · Waiver
915 CENTRE AVE STE 2, FORT COLLINS, CO 80526(970) 482-5096(970) 224-2518 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloom At Home NPPES

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

BLOOM AT HOME (NPI 1114630852) is a healthcare organization registered as a home health in Fort Collins, Colorado and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Barry K Fancher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114630852
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOLUMBINE POUDRE HOME CARE, LLC
Location Address915 CENTRE AVE STE 2Fort Collins, CO 80526-6046
Mailing Address802 W Drake Rd Ste 101Fort Collins, CO 80526-5567 · (970) 482-0198
Phone(970) 482-5096
Fax(970) 224-2518
Organization SubpartYes
Authorized OfficialBarry K FancherCfo · (970) 482-0198
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1114630852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedHome Health AideTaxonomy 374U00000X
915 CENTRE AVE STE 2, Fort Collins, CO 80526
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Other Names 2

Doing Business AsBloom At Home
Doing Business AsColumbine Poudre Home Care, Llc Bloom At Home

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 06D0670066

Columbine Poudre Home Care · Fort Collins, CO
Active · expires Aug 31, 2026
CLIA Number06D0670066
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHolly Johnson
Laboratory Phone(970) 482-5096
Laboratory LocationColumbine Poudre Home Care915 Centre Ave Suite 2, Fort Collins, CO 80526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Columbine Poudre Home Care, LLC's NPI number?

The NPI number for Columbine Poudre Home Care, LLC is 1114630852. It was assigned to this organization in the NPPES registry on December 27, 2022. The provider is doing business as Bloom At Home and Columbine Poudre Home Care, LLC Bloom at Home.

Where is Columbine Poudre Home Care, LLC located?

Columbine Poudre Home Care, LLC is located at 915 Centre Ave Ste 2, Fort Collins, CO 80526. The listed phone number is (970) 482-5096.

What is Columbine Poudre Home Care, LLC's specialty?

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

Does Columbine Poudre Home Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0670066) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Columbine Poudre Home Care, LLC was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.