SSC ENGLEWOOD OPERATING COMPANY LLC (NPI# 1629565270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629565270 |
| Entity Type | Organization |
| Organization Name | SSC ENGLEWOOD OPERATING COMPANY LLC |
| Other Organization Name | PEARL STREET HEALTH & REHABILITATION CENTER |
| Practice Address |
3636 S Pearl St Englewood CO 80113-3806 |
| Mailing Address |
5300 W Sam Houston Pkwy N Ste 100 Houston TX 77041-5162 |
| Practice Telephone | 3037611640 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | KEN PITTS (DIRECTOR REIMBURSEMENT) |
| Authorized Official Telephone | 8324676793 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSC ENGLEWOOD OPERATING COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 0011 | CO | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000160003 | 05 |
| Other Name | Type Code |
|---|---|
| Pearl Street Health & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336269299 | Ssc Englewood Operating Company LLC | Skilled Nursing Facility | 3636 S Pearl St, Englewood, CO 80113-3806 | 2007-04-01 |
| Street Address |
3636 S PEARL ST |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336269299 | Ssc Englewood Operating Company LLC | Skilled Nursing Facility | 3636 S Pearl St, Englewood, CO 80113-3806 | 2007-04-01 |
| 1568081867 | John L Mahalik | Psychologist | 3636 S Pearl St, Englewood, CO 80113-3806 | 2020-04-16 |
| 1891110292 | Gail Lily | Registered Nurse | 3636 S Pearl St, Englewood, CO 80113-3806 | 2014-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
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|---|---|---|---|---|
| 1992245377 | Innovations, LLC | Respite Care | 2731 1/2 S Sherman St, Englewood, CO 80113-1618 | 2017-03-03 |
| 1033577853 | Cottonwood Community Alternatives, Inc. | Respite Care | 3255 S Acoma St, Englewood, CO 80110-2445 | 2016-02-08 |
| 1003289059 | Caringhouse Projects, Inc | Respite Care | 407 Knickerbocker Road, Englewood, NJ 07631 | 2015-11-12 |
| 1316310626 | Caringhouse Projects, Inc | Respite Care | 117 Phelps Avenue, Englewood, NJ 07631 | 2015-11-09 |
| 1497779094 | Healthone | Respite Care | 3444 S Emerson St, Englewood, CO 80113-2834 | 2006-07-27 |
| 1730609579 | Cherry Hills Healthcare, Inc. | Respite Care | 3575 S Washington St, Englewood, CO 80113-3807 | 2017-06-22 |
| 1366962102 | Chateau Julia Healthcare, Inc. | Respite Care | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2017-06-22 |
| 1972058790 | Vandy's Supported Living Services LLC | Respite Care | 303 E Kenyon Ave, Englewood, CO 80113-3719 | 2016-08-22 |
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| 1306302906 | Sunset Homecare Inc | Respite Care | 1450 S Havana St Ste 708, Aurora, CO 80012-4034 | 2019-02-19 |
| 1588136683 | Joyfulcare Homes LLC | Respite Care | 6065 Hearth Ct, Colorado Springs, CO 80922-1829 | 2018-12-30 |
| 1669955779 | Caldwell Family Services Inc. | Respite Care | 9687 Golden Eagle Pl, Highlands Ranch, CO 80129-5780 | 2018-09-13 |
| 1275024739 | Ssc Palisade Operating Company LLC | Respite Care | 151 E 3rd Street, Palisade, CO 81526 | 2018-05-21 |
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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.