SSC GREELEY CENTENNIAL OPERATING COMPANY LLC (NPI# 1013414796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013414796 |
| Entity Type | Organization |
| Organization Name | SSC GREELEY CENTENNIAL OPERATING COMPANY LLC |
| Other Organization Name | CENTENNIAL HEALTHCARE CENTER |
| Practice Address |
1637 29th Avenue Pl Greeley CO 80634-6822 |
| Mailing Address |
5300 W Sam Houston Pkwy N Ste 100 Houston TX 77041-5162 |
| Practice Telephone | 9703568181 |
| Practice Fax Number | 9703563278 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | KEN PITTS (DIRECTOR REIMBURSEMENT) |
| Authorized Official Telephone | 8324676793 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSC GREELEY CENTENNIAL OPERATING COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 0013 | CO | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000159403 | 05 |
| Other Name | Type Code |
|---|---|
| Centennial Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518087402 | Ssc Greeley Centennial Operating Company LLC | Skilled Nursing Facility | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2007-04-02 |
| Street Address |
1637 29TH AVENUE PL |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518087402 | Ssc Greeley Centennial Operating Company LLC | Skilled Nursing Facility | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2007-04-02 |
| 1457973315 | Gaps Health Co P.C. | Family Medicine | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2020-05-14 |
| 1912556630 | Brandi Burman | Occupational Therapist | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-09-05 |
| 1215585682 | Violeta Loredo | Physical Therapy Assistant | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-08-29 |
| 1831747518 | Jamie Hergenreder | Physical Medicine & Rehabilitation | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-08-27 |
| 1598319071 | Jackie Marie Adamson | Physical Therapist | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982053518 | Schaefer Enterprises, Inc. | Respite Care | 500 26th St, Greeley, CO 80631-8427 | 2016-06-04 |
| 1811420722 | The Evangelical Lutheran Good Samaritan Society | Respite Care | 708 22nd St, Greeley, CO 80631-7041 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045084 | Hearts Together, LLC | Respite Care | 845 S Gilpin St, Denver, CO 80209-4514 | 2020-05-27 |
| 1962034082 | Elevation Rehabilitation Services | Respite Care | 729 Sunset Rd, Colorado Springs, CO 80909-4731 | 2020-02-06 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1992358832 | Standford Home Point | Respite Care | 13922 E Stanford Cir Apt B3, Aurora, CO 80015-1015 | 2019-07-19 |
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1780242065 | Heights Healthcare Company LLC | Respite Care | 1440 Coffman St., Longmont, CO 80501-2726 | 2019-06-03 |
| 1306302906 | Sunset Homecare Inc | Respite Care | 1450 S Havana St Ste 708, Aurora, CO 80012-4034 | 2019-02-19 |
| 1588136683 | Joyfulcare Homes LLC | Respite Care | 6065 Hearth Ct, Colorado Springs, CO 80922-1829 | 2018-12-30 |
| 1669955779 | Caldwell Family Services Inc. | Respite Care | 9687 Golden Eagle Pl, Highlands Ranch, CO 80129-5780 | 2018-09-13 |
| 1275024739 | Ssc Palisade Operating Company LLC | Respite Care | 151 E 3rd Street, Palisade, CO 81526 | 2018-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.