FIVE STAR QUALITY CARE-COLORADO LLC (NPI# 1467952705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467952705 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE-COLORADO LLC |
| Other Organization Name | SKYLINE RIDGE NURSING & REHAB |
| Practice Address |
515 Fairview Ave Canon City CO 81212-2863 |
| Practice Telephone | 7192750665 |
| Practice Fax Number | 7162756225 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR QUALITY CARE-COLORADO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | CO | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Skyline Ridge Nursing & Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054956 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2825 Patterson Rd, Grand Junction, CO 81506-6065 | 2006-05-25 |
| 1750336020 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2050 S Main St, Delta, CO 81416-2407 | 2006-05-24 |
| 1275588584 | Five Star Quality Care-colorado LLC | Respite Care | 1599 Ingalls St, Lakewood, CO 80214-1505 | 2006-05-24 |
| 1437104742 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 5555 S Elati St, Littleton, CO 80120-1624 | 2006-05-24 |
| 1255386546 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 515 Fairview Ave, Canon City, CO 81212-2863 | 2006-05-24 |
| 1972558054 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 110 W Van Buren St, Colorado Springs, CO 80907-6713 | 2006-05-24 |
| 1366497349 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2006-05-24 |
| 1285134338 | Five Star Quality Care-colorado LLC | Respite Care | 1599 Ingalls St, Lakewood, CO 80214-1505 | 2018-02-15 |
| 1972003218 | Five Star Quality Care-colorado LLC | Respite Care | 2050 S Main St, Delta, CO 81416-2407 | 2018-02-13 |
| 1871093112 | Five Star Quality Care-colorado LLC | Respite Care | 2825 Patterson Rd, Grand Junction, CO 81506-6065 | 2018-02-13 |
| Street Address |
515 FAIRVIEW AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255386546 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 515 Fairview Ave, Canon City, CO 81212-2863 | 2006-05-24 |
| 1972104297 | Jordynne Harvey | Occupational Therapist | 515 Fairview Ave, Canon City, CO 81212-2863 | 2020-11-03 |
| 1073130118 | Kylie Erin Dunne | Specialist/Technologist | 515 Fairview Ave, Canon City, CO 81212-2863 | 2020-07-05 |
| 1770120065 | Snh Co Tenant LLC | Respite Care | 515 Fairview Ave, Canon City, CO 81212-2863 | 2019-12-05 |
| 1861034209 | Canon City Nursing and Rehab Center, LLC | Skilled Nursing Facility | 515 Fairview Ave, Canon City, CO 81212-2863 | 2019-10-16 |
| 1629629183 | Snh Co Tenant LLC | Alzheimer Center (Dementia Center) | 515 Fairview Ave, Canon City, CO 81212-2863 | 2019-09-26 |
| 1497134456 | Diversicare of Canon City, LLC | Skilled Nursing Facility | 515 Fairview Ave, Canon City, CO 81212-2863 | 2015-05-23 |
| 1215201892 | Kristina Chambers Neumyer | Speech-Language Pathologist | 515 Fairview Ave, Canon City, CO 81212-2863 | 2012-02-29 |
| 1609163021 | Wendy Jean Carter | Social Worker | 515 Fairview Ave, Canon City, CO 81212-2863 | 2011-07-06 |
| 1134380272 | Sylvia Raye Strickland | Social Worker | 515 Fairview Ave, Canon City, CO 81212-2863 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120065 | Snh Co Tenant LLC | Respite Care | 515 Fairview Ave, Canon City, CO 81212-2863 | 2019-12-05 |
| 1780198598 | Shadow Mountain Management | Respite Care | 1401 Phay Ave, Canon City, CO 81212-2303 | 2017-12-01 |
| 1366450090 | Colorado Medical Investors, LLC | Respite Care | 905 Harding Ave, Canon City, CO 81212-2147 | 2006-08-05 |
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|---|---|---|---|---|
| 1164045084 | Hearts Together, LLC | Respite Care | 845 S Gilpin St, Denver, CO 80209-4514 | 2020-05-27 |
| 1962034082 | Elevation Rehabilitation Services | Respite Care | 729 Sunset Rd, Colorado Springs, CO 80909-4731 | 2020-02-06 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1992358832 | Standford Home Point | Respite Care | 13922 E Stanford Cir Apt B3, Aurora, CO 80015-1015 | 2019-07-19 |
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1780242065 | Heights Healthcare Company LLC | Respite Care | 1440 Coffman St., Longmont, CO 80501-2726 | 2019-06-03 |
| 1306302906 | Sunset Homecare Inc | Respite Care | 1450 S Havana St Ste 708, Aurora, CO 80012-4034 | 2019-02-19 |
| 1588136683 | Joyfulcare Homes LLC | Respite Care | 6065 Hearth Ct, Colorado Springs, CO 80922-1829 | 2018-12-30 |
| 1669955779 | Caldwell Family Services Inc. | Respite Care | 9687 Golden Eagle Pl, Highlands Ranch, CO 80129-5780 | 2018-09-13 |
| 1275024739 | Ssc Palisade Operating Company LLC | Respite Care | 151 E 3rd Street, Palisade, CO 81526 | 2018-05-21 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.