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VISTA GRANDE INN INC NPI 1841664620


NPI Information

NPI: 1841664620
Provider Name: VISTA GRANDE INN, INC

Doing Business As: VISTA GRANDE INN

Classification: Respite Care - 385H00000X
Entity Type: Organization

CLIA Number: 06D0916600

Address:
680 E HOSPITAL DR
CORTEZ, CO
ZIP 81321
Phone: (970) 564-1122
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VISTA GRANDE INN, INC is a respite care in Cortez, CO. VISTA GRANDE INN, INC NPI is 1841664620. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Grande Inn.

The provider's business location address is:

680 E HOSPITAL DR
CORTEZ, CO
ZIP 81321-200
Phone: (970) 564-1122
Fax: (970) 564-1131

The provider's authorized official is Luciana Singer .
The authorized official title is Management and has the following contact phone number (970) 516-1404.

The CLIA number assigned to this NPI record is 06D0916600 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.


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
1385H00000XRespite CareCOLORADOYes

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
112208086MEDICAIDCOLORADO

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

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