RURAL REST HOMES LLC NPI 1629287172

NPI Information

  • NPI: 1629287172
  • Provider Name: RURAL REST HOMES LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TENDER CARE VILLAGE OF FLAGER
  • Address: 419 PAWNEE
    FLAGER, CO
    ZIP 80815
  • Phone: (719) 765-4442

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NPI Details

RURAL REST HOMES LLC is an assisted living facility in Flager, 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. RURAL REST HOMES LLC NPI is 1629287172. The provider is registered as an organization entity type.
The provider Is Doing Business As Tender Care Village Of Flager.

The provider's business location address is:

419 PAWNEE
FLAGER, CO
ZIP 80815
Phone: (719) 765-4442
Fax: (719) 765-4086

The provider's authorized official is Ric Hansen .
The authorized official title is Operating Manager and has the following contact phone number (970) 221-4039.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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
1310400000XAssisted Living FacilityAL0424COLORADOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138000393MEDICAIDCOLORADO

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: 3/30/2025

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