SIGNATURE THE RETREAT (NPI# 1245454933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245454933 |
| Entity Type | Organization |
| Organization Name | SIGNATURE THE RETREAT |
| Other Organization Name | THE RETREAT AT CHURCH RANCH |
| Practice Address |
10190 Wadsworth Blvd Westminster CO 80021-5491 |
| Practice Telephone | 3034697178 |
| Practice Fax Number | 3034647658 |
| Mailing Telephone | 3034697178 |
| Mailing Fax Number | 3034647658 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA AVERY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3034697178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL-0860 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 85326879 | 05 |
| Other Name | Type Code |
|---|---|
| The Retreat at Church Ranch | Former Legal Business Name - Organization |
| Street Address |
10190 WADSWORTH BLVD |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80021-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912387929 | West Glenn Manor | Assisted Living Facility | 7242 Westminster Blvd, Westminster, CA 92683-4253 | 2015-06-04 |
| 1164631339 | Sunrise Westminster Assisted Living, LLC | Assisted Living Facility | 10280 Sheridan Blvd, Westminster, CO 80020-3341 | 2007-05-22 |
| 1326260142 | Milburn Enterprise Inc | Assisted Living Facility | 8823 Princeton St, Westminster, CO 80030 | 2007-05-02 |
| 1518583509 | Keystone Federal, LLC | Assisted Living Facility | 11150 Irving Dr, Westminster, CO 80031-6885 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1316553068 | Lower Valley Hospital Association | Assisted Living Facility | 243 N Cherry St, Fruita, CO 81521-2102 | 2020-09-18 |
| 1003427311 | Easley Senior Care LLC | Assisted Living Facility | 17351 W 64th Ave, Arvada, CO 80007-7796 | 2020-08-11 |
| 1528676111 | Pine Ridge Terrace Manor LLC | Assisted Living Facility | 378 S Pearl St, Elizabeth, CO 80107-7519 | 2020-07-20 |
| 1669090965 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2240 Pratt St, Longmont, CO 80501-1497 | 2020-07-13 |
| 1699393728 | Planet View Inc. | Assisted Living Facility | 6994 County Road 39, Fort Lupton, CO 80621-8528 | 2020-07-06 |
| 1093339665 | Graceful Hearts Assisted Living | Assisted Living Facility | 6780 E Lake Cir, Centennial, CO 80111-4410 | 2020-05-30 |
| 1912520925 | Apex Assisted Living LLC | Assisted Living Facility | 3071 S Rosemary St, Denver, CO 80231-4186 | 2020-05-26 |
| 1477175172 | Eben Ezer Lutheran Care Center | Assisted Living Facility | 1910 Edison St, Brush, CO 80723-1743 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on SIGNATURE THE RETREAT.
| 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.