MANORCARE HEALTH SERVICES BOULDER (NPI# 1467516740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467516740 |
| Entity Type | Organization |
| Organization Name | MANORCARE HEALTH SERVICES BOULDER |
| Practice Address |
2800 Palo Pkwy Boulder CO 80301-1540 |
| Practice Telephone | 3034409100 |
| Practice Fax Number | 3034409251 |
| Mailing Telephone | 3034409100 |
| Mailing Fax Number | 3034409251 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANTHONY HANLON (ADMINISTRATOR) |
| Authorized Official Telephone | 3034409100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1295 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI | 1992742258 | 01 |
| CO | 63936364 | 05 |
| Street Address |
2800 PALO PKWY |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992742258 | Manor Care of Boulder Co LLC | Skilled Nursing Facility | 2800 Palo Pkwy, Boulder, CO 80301-1540 | 2006-06-02 |
| 1902328248 | Whitney Tidwell | Physical Therapy Assistant | 2800 Palo Pkwy, Boulder, CO 80301-1540 | 2017-07-07 |
| 1821276486 | Tyler Keeter | Physical Therapist | 2800 Palo Pkwy, Boulder, CO 80301-1540 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| 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 |
|---|---|---|---|---|
| 1609996560 | Ssc Boulder Operating Company LLC | Skilled Nursing Facility | 4685 Baseline Rd, Boulder, CO 80303-2601 | 2007-04-01 |
| 1992742258 | Manor Care of Boulder Co LLC | Skilled Nursing Facility | 2800 Palo Pkwy, Boulder, CO 80301-1540 | 2006-06-02 |
| 1689665119 | Buckeye M, LLC | Skilled Nursing Facility | 2121 Mesa Dr, Boulder, CO 80304-3621 | 2005-11-03 |
| 1770574279 | Frasier Meadows Manor, Inc. | Skilled Nursing Facility | 4950 Thunderbird Dr, Boulder, CO 80303-3835 | 2005-11-02 |
| 1376182162 | Buckeye M, LLC | Skilled Nursing Facility | 2121 Mesa Dr, Boulder, CO 80304-3621 | 2019-12-27 |
| 1730627183 | Buckeye M, LLC | Skilled Nursing Facility | 2121 Mesa Dr, Boulder, CO 80304-3621 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1053956268 | La Junta Health Service District | Skilled Nursing Facility | 1904 San Juan Ave Rm 111, La Junta, CO 81050-3268 | 2019-11-12 |
| 1780235234 | Snh Co Tenant LLC | Skilled Nursing Facility | 2501 Little Bookcliff Drive, Grand Junction, CO 81501-8802 | 2019-09-26 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1043701337 | Center At Centerplace, LLC | Skilled Nursing Facility | 4356 24th Street Rd, Greeley, CO 80634-3330 | 2018-05-23 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MANORCARE HEALTH SERVICES BOULDER.
| 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.