CEDARDALE HEALTH CARE CENTRE, INC. (NPI# 1831375336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831375336 |
| Entity Type | Organization |
| Organization Name | CEDARDALE HEALTH CARE CENTRE, INC. |
| Practice Address |
720 Clay Street Wray CO 80758 |
| Mailing Address |
Po Box 97 Wray CO 80758 |
| Practice Telephone | 9703325375 |
| Practice Fax Number | 9703324383 |
| Mailing Telephone | 9703325375 |
| Mailing Fax Number | 9703324383 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | MR. CLAIR MORRISON (ADMINISTRATOR) |
| Authorized Official Telephone | 9703325375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05652185 | 05 | |
| CO | MEDICAID RESPITE | 04139630 | 01 |
| Street Address |
720 CLAY STREET |
| City | WRAY |
| State | CO |
| Zip Code | 80758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998413 | Lisa Mae Arkulari | Technician | 537 Ellis Dr., Wray, CO 80758 | 2019-08-23 |
| 1649646134 | Leeann Schroeder | Counselor | 365 W. 2nd, Wray, CO 80758 | 2015-08-19 |
| 1720476369 | Karen Allison | Occupational Therapist | 320 Canyon Ridge Drive, Wray, CO 80758 | 2015-01-06 |
| 1881834521 | Renee Ruhlman | Counselor | 340 Sourth Birch Street, Wray, CO 80758 | 2009-02-20 |
| 1093831356 | Mark Mcdonald P.t., P.C. | Physical Therapist | 7th and Main, Wray, CO 80758 | 2007-03-21 |
| 1801986328 | Michael Lawler | Occupational Therapist | 7th Main, Wrac, Wray, CO 80758 | 2006-10-13 |
| 1912486820 | Wray Community District Hospital | Physical Therapist | 700 Main St, Wray, CO 80758 | 2018-08-10 |
| 1518234970 | Melvin Dustin Dunn | Chiropractor | 363 W 2nd St, Wray, CO 80758-1009 | 2011-11-29 |
| 1528208428 | Centennial Mental Health Center | Community/Behavioral Health | 365 W 2nd St, Wray, CO 80758-1009 | 2009-03-05 |
| 1942311808 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 305 W 2nd St, Suite #2, Wray, CO 80758-1009 | 2006-08-31 |
| Find all providers in zip 80758 | ||||
| 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 |
|---|---|---|---|---|
| 1104268465 | Wray Community Long Term Care Inc | Skilled Nursing Facility | 360 Canyon Ridge Dr, Wray, CO 80758-8947 | 2013-07-26 |
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|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1053956268 | La Junta Health Service District | Skilled Nursing Facility | 1904 San Juan Ave Rm 111, La Junta, CO 81050-3268 | 2019-11-12 |
| 1780235234 | Snh Co Tenant LLC | Skilled Nursing Facility | 2501 Little Bookcliff Drive, Grand Junction, CO 81501-8802 | 2019-09-26 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1043701337 | Center At Centerplace, LLC | Skilled Nursing Facility | 4356 24th Street Rd, Greeley, CO 80634-3330 | 2018-05-23 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
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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.