Provider Type Icon

SSC MONTROSE SAN JUAN OPERATING COMPANY LLC NPI 1932697380


NPI Information

NPI: 1932697380
Provider Name: SSC MONTROSE SAN JUAN OPERATING COMPANY LLC

Doing Business As: SAN JUAN LIVING CENTER

Classification: Respite Care - 385H00000X
Entity Type: Organization

CLIA Number: 06D0720934

Address:
1043 RIDGE ST
MONTROSE, CO
ZIP 81401
Phone: (970) 249-9683
Get Directions

SSC MONTROSE SAN JUAN OPERATING COMPANY LLC is a respite care in Montrose, CO. SSC MONTROSE SAN JUAN OPERATING COMPANY LLC NPI is 1932697380. The provider is registered as an organization entity type.
The provider Is Doing Business As San Juan Living Center.

The provider's business location address is:

1043 RIDGE ST
MONTROSE, CO
ZIP 81401-423
Phone: (970) 249-9683

The provider's authorized official is Ken Pitts .
The authorized official title is Director Reimbursement Services and has the following contact phone number (832) 467-6793.

The CLIA number assigned to this NPI record is 06D0720934 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2018 and was last updated on 5/1/2018.


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 Care1300COLORADOYes

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
19000160358MEDICAIDCOLORADO

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.