Healthcare Provider Details

I. General information

NPI: 1437609252
Provider Name (Legal Business Name): COACH HOME HEALTH AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6760 CORPORATE DR STE 100
COLORADO SPRINGS CO
80919-1986
US

IV. Provider business mailing address

6760 CORPORATE DR STE 100
COLORADO SPRINGS CO
80919-1986
US

V. Phone/Fax

Practice location:
  • Phone: 719-600-3040
  • Fax: 719-896-5384
Mailing address:
  • Phone: 719-600-3040
  • Fax: 719-260-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTEL AIME
Title or Position: MANAGING MEMBER
Credential:
Phone: 719-391-4444