DENVER VAMC (NPI# 1750741211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750741211 |
| Entity Type | Organization |
| Organization Name | DENVER VAMC |
| Other Organization Name | PUEBLO VA CLC |
| Practice Address |
2600 Oakshire Ln Pueblo CO 81001-5671 |
| Mailing Address |
Po Box 94455 Cleveland OH 44101-4455 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| 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 |
|---|---|
| PUEBLO VA CLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376903740 | Denver Vamc | Psychiatric Residential Treatment Facility | 7350 W Eastman Pl, Lakewood, CO 80227-5006 | 2016-02-29 |
| 1104217520 | Denver Vamc | Clinic/Center | 3836 York Street, Denver, CO 80205-9998 | 2015-02-06 |
| 1992752877 | Denver Vamc | Clinic/Center | 1020 Johnson Road, Golden, CO 80401-6002 | 2006-05-27 |
| 1578515631 | Denver Vamc | Clinic/Center | 3141 Centennial Blvd., Colorado Springs, CO 80907-9998 | 2006-05-17 |
| 1003866872 | Denver Vamc | Clinic/Center | 622 Del Sol Dr, Alamosa, CO 81101-8548 | 2006-05-11 |
| 1053369520 | Denver Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 N Wheeling Street, Aurora, CO 80045-7211 | 2006-05-05 |
| 1982201919 | Denver Vamc | Clinic/Center | 3920 N Union Blvd Ste 200, Colorado Springs, CO 80907-4921 | 2020-10-02 |
| 1497307516 | Denver Vamc | Clinic/Center | 4545 E 9th Ave Ste 10, Denver, CO 80220-3907 | 2019-07-09 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1235520651 | Denver Vamc | Clinic/Center | 14400 E Jewell Ave, Aurora, CO 80012-5689 | 2015-02-06 |
| Street Address |
2600 OAKSHIRE LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749778 | Jaydene Mason | Nurse Practitioner | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2006-04-14 |
| 1326674987 | Robert Brooks Maurio | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2020-03-16 |
| 1487086112 | Robert B King | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2013-08-05 |
| 1962653584 | Lourdes Emiko Nishi | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1194148940 | Rose Marie Javornik | Skilled Nursing Facility | 5601 Verde Rd, Pueblo, CO 81004-9735 | 2014-01-30 |
| 1366881237 | Wsi Personel | Skilled Nursing Facility | 2610 Hollywood Dr, Pueblo, CO 81005-3313 | 2013-06-24 |
| 1588954598 | Mariah Lynn Mikulas | Skilled Nursing Facility | 2724 Franklin Ave, Pueblo, CO 81003-1330 | 2011-04-11 |
| 1891882957 | South Pueblo Medical Investors, LLC | Skilled Nursing Facility | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2006-10-09 |
| 1265537591 | Continuum At Sharmar, Inc. | Skilled Nursing Facility | 1201 W Abriendo Ave, Pueblo, CO 81004-1003 | 2006-09-13 |
| 1861508822 | Catholic Health Initiatives Colorado | Skilled Nursing Facility | 1111 Bonforte Blvd, Pueblo, CO 81001-1801 | 2006-08-22 |
| 1922000371 | Pitman Place, LLC | Skilled Nursing Facility | 1610 Scranton Ave, Pueblo, CO 81004-2676 | 2005-08-15 |
| 1619978426 | Pitman Place, LLC | Skilled Nursing Facility | 2515 Pitman Pl, Pueblo, CO 81004-2633 | 2005-08-02 |
| 1801418256 | Center At Park West, LLC | Skilled Nursing Facility | St. Mary Corwin Medical Center, 1008 Minnequa Avenue, Pueblo, CO 81004 | 2020-05-08 |
| Find all providers in PUEBLO | ||||
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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.