WHEAT RIDGE ASSISTED LIVING CORP (NPI# 1669589693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669589693 |
Entity Type | Organization |
Organization Name | WHEAT RIDGE ASSISTED LIVING CORP |
Other Organization Name | THE RETREAT AT HIGHLANDS |
Practice Address |
3315 Sheridan Blvd Wheat Ridge CO 80212 |
Practice Telephone | 3034620934 |
Practice Fax Number | 3034620943 |
Mailing Telephone | 3034620934 |
Mailing Fax Number | 3034620943 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. ROBIN R AVERY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3034620934 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | AL 1007 | CO | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 55529721 | 05 |
Other Name | Type Code |
---|---|
The Retreat at Highlands | Doing Business As Name - Organization |
Street Address |
3315 SHERIDAN BLVD |
City | WHEAT RIDGE |
State | CO |
Zip Code | 80212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
Find all providers in zip 80212 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750870267 | Temenos Elder Care Company | Assisted Living Facility | 3113 Teller St, Wheat Ridge, CO 80033-8057 | 2018-05-10 |
1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
1174728786 | The Verandas Assisted Living At Wheat Ridge LLC | Assisted Living Facility | 9495 W 49th Ave, Wheat Ridge, CO 80033-2277 | 2007-06-15 |
1881789329 | Continuum At Spring Ridge Park, LLC | Assisted Living Facility | 5361 W 26th Avenue, Wheat Ridge, CO 80214 | 2006-10-03 |
1114493632 | Tender Care Assisted Living | Assisted Living Facility | 3113 Teller St, Wheat Ridge, CO 80033-8057 | 2018-10-23 |
1558844472 | Justin Bennett Wiley | Assisted Living Facility | 3113 Teller St, Wheat Ridge, CO 80033-8057 | 2018-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
1316553068 | Lower Valley Hospital Association | Assisted Living Facility | 243 N Cherry St, Fruita, CO 81521-2102 | 2020-09-18 |
1003427311 | Easley Senior Care LLC | Assisted Living Facility | 17351 W 64th Ave, Arvada, CO 80007-7796 | 2020-08-11 |
1528676111 | Pine Ridge Terrace Manor LLC | Assisted Living Facility | 378 S Pearl St, Elizabeth, CO 80107-7519 | 2020-07-20 |
1669090965 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2240 Pratt St, Longmont, CO 80501-1497 | 2020-07-13 |
1699393728 | Planet View Inc. | Assisted Living Facility | 6994 County Road 39, Fort Lupton, CO 80621-8528 | 2020-07-06 |
1093339665 | Graceful Hearts Assisted Living | Assisted Living Facility | 6780 E Lake Cir, Centennial, CO 80111-4410 | 2020-05-30 |
1912520925 | Apex Assisted Living LLC | Assisted Living Facility | 3071 S Rosemary St, Denver, CO 80231-4186 | 2020-05-26 |
1477175172 | Eben Ezer Lutheran Care Center | Assisted Living Facility | 1910 Edison St, Brush, CO 80723-1743 | 2020-05-15 |
Find all providers with the same taxonomy |
City | WHEAT RIDGE |
Zip Code | 80212 |
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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.