CENTER AT CENTENNIAL, LLC (NPI# 1659790202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659790202 |
| Entity Type | Organization |
| Organization Name | CENTER AT CENTENNIAL, LLC |
| Other Organization Name | CENTER AT CORDERA |
| Practice Address |
9208 Grand Cordera Parkway Colorado Springs CO 80924 |
| Practice Telephone | 7195222000 |
| Practice Fax Number | 7195222050 |
| Mailing Telephone | 7195222000 |
| Mailing Fax Number | 7195222050 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | ALEXANDER SENKOFF (MANAGER) |
| Authorized Official Telephone | 7196858888 |
| Authorized Official Credential | M.D., N.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Center at Cordera | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033149885 | Center At Centennial, LLC | Skilled Nursing Facility | 3490 Centennial Blvd, Colorado Springs, CO 80907-4087 | 2006-07-04 |
| Street Address |
9208 GRAND CORDERA PARKWAY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235518846 | Mark Brian Sanders | Physical Therapist | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| 1992883441 | Sara Jean Thinger | Physical Therapist | 9110 Lookout Mountain Ct, Colorado Springs, CO 80924 | 2006-11-01 |
| Find all providers in zip 80924 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114392743 | Pikes Peak Healthcare, Inc. | Skilled Nursing Facility | 2818 Grand Vista Cir, Colorado Springs, CO 80904-5242 | 2015-12-08 |
| 1316297559 | Ahc of Colorado Springs, LLC | Skilled Nursing Facility | 55 South Parkside Drive, Colorado Springs, CO 80909 | 2012-09-14 |
| 1669660098 | Kimberly O'connor | Skilled Nursing Facility | 698 Johanne Pl Apt A, Colorado Springs, CO 80906-6425 | 2007-10-10 |
| 1801016688 | Sunny Vista Living Center | Skilled Nursing Facility | 2400 E Cache La Poudre, Colorado Springs, CO 80909-4813 | 2007-04-26 |
| 1659427482 | Beneficial Living Systems | Skilled Nursing Facility | 2612 W Cucharras St, Colorado Springs, CO 80904-3031 | 2007-01-26 |
| 1376699496 | Beneficial Living Systems | Skilled Nursing Facility | 104 Lois Ln, Colorado Springs, CO 80904-1320 | 2007-01-25 |
| 1356415442 | St Francis Nursing Center | Skilled Nursing Facility | 7550 Assisi Hts, Colorado Springs, CO 80919-3853 | 2006-11-20 |
| 1316050156 | Catholic Health Initiatives Colorado | Skilled Nursing Facility | 1719 E Bijou St, Colorado Springs, CO 80909-5736 | 2006-08-16 |
| 1932120680 | Volunteers of America Care Facilities | Skilled Nursing Facility | 920 S Chelton Rd, Colorado Springs, CO 80910-2311 | 2006-07-21 |
| 1033149885 | Center At Centennial, LLC | Skilled Nursing Facility | 3490 Centennial Blvd, Colorado Springs, CO 80907-4087 | 2006-07-04 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
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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.