DIVERSICARE OF GRAND JUNCTION I, LLC (NPI# 1770962730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770962730 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE OF GRAND JUNCTION I, LLC |
| Other Organization Name | DIVERSICARE OF BOOKCLIFF |
| Practice Address |
2501 Little Bookcliff Dr Grand Junction CO 81501-8802 |
| Practice Telephone | 9702451211 |
| Practice Fax Number | 6156207875 |
| Mailing Telephone | 9702451211 |
| Mailing Fax Number | 6156207875 |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2015-05-23 |
| Authorized Official Name | KELLY J GILL (PRESIDENT & CEO) |
| Authorized Official Telephone | 6157717575 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIVERSICARE LEASING COMPANY II, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Diversicare of Bookcliff | Doing Business As Name - Organization |
| Street Address |
2501 LITTLE BOOKCLIFF DR |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497349 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2006-05-24 |
| 1457998064 | Snh Co Tenant LLC | Respite Care | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8842 | 2019-12-02 |
| 1659913267 | Colorado River Nursing and Rehab Center, LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2019-10-15 |
| 1629578968 | Five Star Quality Care-colorado LLC | Respite Care | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2018-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| 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 |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1780235234 | Snh Co Tenant LLC | Skilled Nursing Facility | 2501 Little Bookcliff Drive, Grand Junction, CO 81501-8802 | 2019-09-26 |
| 1750837951 | The Center At Foresight, LLC | Skilled Nursing Facility | 606 E. Foresight Circle, Grand Junction, CO 81505-1012 | 2016-08-28 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1942391875 | Eagle Ridge Operating Company, LLC | Skilled Nursing Facility | 2425 Teller Ave, Grand Junction, CO 81501-5141 | 2006-09-27 |
| 1922054956 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2825 Patterson Rd, Grand Junction, CO 81506-6065 | 2006-05-25 |
| 1366497349 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2006-05-24 |
| 1366443350 | Larchwood Inns Inc | Skilled Nursing Facility | 2845 N 15th St, Grand Junction, CO 81506-5219 | 2005-08-02 |
| 1659913267 | Colorado River Nursing and Rehab Center, LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2019-10-15 |
| 1205478815 | Grand Junction Nursing and Rehab Center, LLC | Skilled Nursing Facility | 2825 Patterson Rd, Grand Junction, CO 81506-6065 | 2019-10-15 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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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.