329 EXEMPLA CIRCLE OPERATIONS LLC (NPI# 1134755796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134755796 |
Entity Type | Organization |
Organization Name | 329 EXEMPLA CIRCLE OPERATIONS LLC |
Practice Address |
329 Exempla Cir Lafayette CO 80026-3482 |
Practice Telephone | 7206392200 |
Mailing Telephone | 7206392200 |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-03-16 |
Authorized Official Name | MICHAEL THEODORE BERG (VP ASST SECRETARY) |
Authorized Official Telephone | 5054684742 |
Authorized Official Credential | JD |
Is Organization Subpart | Y |
Parent Organization Name | PEAK MEDICAL LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | MEDICARE | 065414 | 01 |
CO | SNF NPI | 126583224 | 01 |
Other Name | Type Code |
---|---|
PowerBack Rehabilitation Lafayette | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265832224 | 329 Exempla Circle Operations LLC | Assisted Living Facility | 329 Exempla Cir, Lafayette, CO 80026-3463 | 2014-08-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | 329 Exempla Circle Operations LLC | 101 E. State Street, Kennett Square, PA 19348 |
Street Address |
329 EXEMPLA CIR |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-3482 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780854224 | Sharon Wilson | Physical Therapist | 329 Exempla Cir, Lafayette, CO 80026-3463 | 2008-03-11 |
1447866561 | Hannah Beach | Speech-Language Pathologist | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2020-09-23 |
1699254821 | Brandi Alexis Welch | Occupational Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2018-08-08 |
1124514559 | Abbey Harris | Occupational Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2018-07-09 |
1679086235 | Samantha Devilbiss | Speech-Language Pathologist | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2017-11-06 |
1104356047 | Maria Theresa Lopez | Occupational Therapist | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2017-06-13 |
1225563349 | Chante Kline | Occupational Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2017-04-26 |
1063945442 | Devin Dinecola | Physical Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2017-04-04 |
1003350901 | Troy Ridgeway | Occupational Therapist | 329 Exempla Cir, Lafayette, CO 80026-3482 | 2016-12-12 |
1013465277 | Susan Hinton | Physical Therapy Assistant | 329 Exempla Cir, Lafayette, CO 80026-3463 | 2016-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
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Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.