CENTER AT CENTENNIAL, LLC (NPI# 1033149885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033149885 |
| Entity Type | Organization |
| Organization Name | CENTER AT CENTENNIAL, LLC |
| Practice Address |
3490 Centennial Blvd Colorado Springs CO 80907-4087 |
| Practice Telephone | 7196858888 |
| Practice Fax Number | 7196858958 |
| Mailing Telephone | 7196858888 |
| Mailing Fax Number | 7196858958 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | DR. ALEXANDER SENKOFF (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7196858888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| Street Address |
3490 CENTENNIAL BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-4087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866474 | Centercare Hospice LLC | Hospice Care, Community Based | 3490 Centennial Blvd, Colorado Springs, CO 80907-4087 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114392743 | Pikes Peak Healthcare, Inc. | Skilled Nursing Facility | 2818 Grand Vista Cir, Colorado Springs, CO 80904-5242 | 2015-12-08 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1316297559 | Ahc of Colorado Springs, LLC | Skilled Nursing Facility | 55 South Parkside Drive, Colorado Springs, CO 80909 | 2012-09-14 |
| 1669660098 | Kimberly O'connor | Skilled Nursing Facility | 698 Johanne Pl Apt A, Colorado Springs, CO 80906-6425 | 2007-10-10 |
| 1801016688 | Sunny Vista Living Center | Skilled Nursing Facility | 2400 E Cache La Poudre, Colorado Springs, CO 80909-4813 | 2007-04-26 |
| 1659427482 | Beneficial Living Systems | Skilled Nursing Facility | 2612 W Cucharras St, Colorado Springs, CO 80904-3031 | 2007-01-26 |
| 1376699496 | Beneficial Living Systems | Skilled Nursing Facility | 104 Lois Ln, Colorado Springs, CO 80904-1320 | 2007-01-25 |
| 1356415442 | St Francis Nursing Center | Skilled Nursing Facility | 7550 Assisi Hts, Colorado Springs, CO 80919-3853 | 2006-11-20 |
| 1316050156 | Catholic Health Initiatives Colorado | Skilled Nursing Facility | 1719 E Bijou St, Colorado Springs, CO 80909-5736 | 2006-08-16 |
| 1932120680 | Volunteers of America Care Facilities | Skilled Nursing Facility | 920 S Chelton Rd, Colorado Springs, CO 80910-2311 | 2006-07-21 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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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.