SSC PALISADE OPERATING COMPANY LLC (NPI# 1275024739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275024739 |
Entity Type | Organization |
Organization Name | SSC PALISADE OPERATING COMPANY LLC |
Other Organization Name | PALISADES LIVING CENTER |
Practice Address |
151 E 3rd Street Palisade CO 81526 |
Mailing Address |
5300 W Sam Houston Pkwy N Ste 100 Houston TX 77041-5162 |
Practice Telephone | 9704647500 |
Mailing Telephone | 8324676793 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |
Authorized Official Name | KEN PITTS (DIRECTOR REIMBURSEMENT) |
Authorized Official Telephone | 8324676793 |
Is Organization Subpart | Y |
Parent Organization Name | SSC PALISADE OPERATING COMPANY LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | CO | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 9000160669 | 05 |
Other Name | Type Code |
---|---|
Palisades Living Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205957511 | Ssc Palisade Operating Company LLC | Respite Care | 151 East Third Street, Palisades, CO 81526 | 2007-04-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | SSC Palisade Operating Company LLC | 8601 Dunwoody Place, Suite 775, Sandy Springs, GA 30350 |
Street Address |
151 E 3RD STREET |
City | PALISADE |
State | CO |
Zip Code | 81526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922657139 | Andrew Paul Lastova | Occupational Therapist | 151 East 3rd Street, Palisade, CO 81526 | 2019-09-10 |
1205957511 | Ssc Palisade Operating Company LLC | Respite Care | 151 East Third Street, Palisades, CO 81526 | 2007-04-03 |
1275671356 | Town of Palisade | Ambulance | 175 East 3rd Street, Palisade, CO 81526 | 2007-02-02 |
1760550180 | Brian E Day | Dentist | 125 West 3rd St, Palisade, CO 81526 | 2006-12-01 |
1629159025 | William A Cowles | Social Worker | 688 Brentwood Dr, Palisade, CO 81526 | 2006-10-18 |
1851403588 | Town of Palisade | Ambulance | 175 E 3rd, Palisade, CO 81526 | 2006-08-31 |
1902463789 | Swlcsw LLC | Social Worker | 151 E 3rd St, Palisade, CO 81526 | 2019-05-28 |
1215378732 | Constance Louise Lepper | Nurse Practitioner | 151 E. Third St., Palisade, CO 81526-0190 | 2013-07-12 |
1447860234 | Erik Larson | Counselor | 305 Main St # 200, Palisade, CO 81526-5043 | 2020-08-06 |
1780023812 | Dustin Andrew Morrison | Chiropractor | 117 Main St # 973, Palisade, CO 81526-5046 | 2013-06-21 |
Find all providers in zip 81526 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
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1386134377 | Ab Advanced Services | Respite Care | 4312 Ceylon St, Denver, CO 80249-6502 | 2018-05-15 |
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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.