SSC GREELEY CENTENNIAL OPERATING COMPANY LLC (NPI# 1518087402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518087402 |
| Entity Type | Organization |
| Organization Name | SSC GREELEY CENTENNIAL OPERATING COMPANY LLC |
| Other Organization Name | CENTENNIAL HEALTHCARE CENTER |
| Practice Address |
1637 29th Avenue Pl Greeley CO 80634-6822 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 9703568181 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | KELLE C SANTORO (SR DIRECTOR AR) |
| Authorized Official Telephone | 8324675728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0013 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 53308310 | 05 |
| Other Name | Type Code |
|---|---|
| Centennial Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013414796 | Ssc Greeley Centennial Operating Company LLC | Respite Care | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2018-04-10 |
| Street Address |
1637 29TH AVENUE PL |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973315 | Gaps Health Co P.C. | Family Medicine | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2020-05-14 |
| 1912556630 | Brandi Burman | Occupational Therapist | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-09-05 |
| 1215585682 | Violeta Loredo | Physical Therapy Assistant | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-08-29 |
| 1831747518 | Jamie Hergenreder | Physical Medicine & Rehabilitation | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-08-27 |
| 1598319071 | Jackie Marie Adamson | Physical Therapist | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2019-08-01 |
| 1013414796 | Ssc Greeley Centennial Operating Company LLC | Respite Care | 1637 29th Avenue Pl, Greeley, CO 80634-6822 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| 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 |
|---|---|---|---|---|
| 1043701337 | Center At Centerplace, LLC | Skilled Nursing Facility | 4356 24th Street Rd, Greeley, CO 80634-3330 | 2018-05-23 |
| 1326168212 | Ssc Greeley Kenton Operating Company LLC | Skilled Nursing Facility | 850 27th Ave, Greeley, CO 80634-5807 | 2007-04-02 |
| 1154300853 | Fairacres Manor, Inc | Skilled Nursing Facility | 1700 18th Ave, Greeley, CO 80631-5134 | 2006-01-11 |
| 1205209764 | Fairacres Manor, Inc | Skilled Nursing Facility | 1700 18th Ave, Greeley, CO 80631-5134 | 2015-11-05 |
| 1467519843 | North Colorado Medical Center | Skilled Nursing Facility | 1801 16th St, Greeley, CO 80631-5154 | 2007-01-03 |
| 1003825761 | Weld Ltc Investors LLC | Skilled Nursing Facility | 4800 W 25th St, Greeley, CO 80634-3734 | 2006-08-05 |
| 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 |
| 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 |
| 1891247714 | Aurora /transitional /care, LLC | Skilled Nursing Facility | 13525 E 23rd Ave, Aurora, CO 80045 | 2016-10-26 |
| Find all providers with the same taxonomy | ||||
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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.