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RED CANYON VILLAGE LLC NPI 1629745419


NPI Information

NPI: 1629745419
Provider Name: RED CANYON VILLAGE LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1338 PHAY AVE
CANON CITY, CO
ZIP 81212
Phone: (719) 285-2540
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RED CANYON VILLAGE LLC is a respite care in Canon City, CO. RED CANYON VILLAGE LLC NPI is 1629745419. The provider is registered as an organization entity type.

The provider's business location address is:

1338 PHAY AVE
CANON CITY, CO
ZIP 81212-311
Phone: (719) 285-2540

The provider's authorized official is Katie Essary .
The authorized official title is Authorized Individual and has the following contact phone number (303) 952-9216.

The enumeration date for this NPI number is 8/27/2021 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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