OAKSHIRE GARDENS (NPI# 1356712129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356712129 |
| Entity Type | Organization |
| Organization Name | OAKSHIRE GARDENS |
| Practice Address |
2400 Oakshire Ln Pueblo CO 81001-5653 |
| Practice Telephone | 7195443001 |
| Practice Fax Number | 7195869256 |
| Mailing Telephone | 7195443001 |
| Mailing Fax Number | 7195869256 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | MS. KRISS PRADO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7194065288 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23M641 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 56353375 | 05 |
| Street Address |
2400 OAKSHIRE LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-5653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1225512619 | The Citadel Alzheimers and Dementia Assisted Living | Assisted Living Facility | 431 Quincy St, Pueblo, CO 81004-2027 | 2018-09-20 |
| 1871084574 | Greenwood Manor Inc | Assisted Living Facility | 421 W 11th St, Pueblo, CO 81003-2806 | 2018-05-29 |
| 1578927042 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 4723 Surfwood Ln, Pueblo, CO 81005-4627 | 2016-04-11 |
| 1003273053 | Villa Grove Assisted Living Home | Assisted Living Facility | 715 E B St, Pueblo, CO 81003-3504 | 2016-01-21 |
| 1033580808 | Trinity Life Gardens | Assisted Living Facility | 2430 Oakshire Ln, Pueblo, CO 81001-5655 | 2015-10-19 |
| 1336510114 | North Pointe Gardens | Assisted Living Facility | 3777 Parker Blvd, Pueblo, CO 81008-2218 | 2015-10-19 |
| 1285030072 | Rock Canyon Healthcare, Inc. | Assisted Living Facility | 1611 Alma Ave, Pueblo, CO 81004-2609 | 2014-11-06 |
| 1669807731 | 1111 Bonforte Opco, LLC | Assisted Living Facility | 855 Hunter Dr, Pueblo, CO 81001-1867 | 2013-09-09 |
| 1831312339 | Golden Gate Manor | Assisted Living Facility | 606 W Abriendo Ave, Pueblo, CO 81004-1545 | 2007-04-11 |
| 1184776098 | Caren Diane Pease | Assisted Living Facility | 401 West 13th Street, Pease Guest Home, Pueblo, CO 81003 | 2007-01-18 |
| Find all providers in PUEBLO | ||||
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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.