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ROCK CANYON HEALTHCARE LLC NPI 1285030072


NPI Information

NPI: 1285030072
Provider Name: ROCK CANYON HEALTHCARE LLC

Doing Business As: THE VILLAS AT ROCK CANYON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1611 ALMA AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 564-0550
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ROCK CANYON HEALTHCARE LLC is an assisted living facility in Pueblo, CO. The provider is 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. ROCK CANYON HEALTHCARE LLC NPI is 1285030072. The provider is registered as an organization entity type.
The provider Is Doing Business As The Villas At Rock Canyon.

The provider's business location address is:

1611 ALMA AVE
PUEBLO, CO
ZIP 81004-609
Phone: (719) 564-0550
Fax: (719) 404-1030

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 8/29/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000MEDICAIDCOLORADO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.