SSC MONTROSE SAN JUAN OPERATING COMPANY LLC (NPI# 1699895565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699895565 |
| Entity Type | Organization |
| Organization Name | SSC MONTROSE SAN JUAN OPERATING COMPANY LLC |
| Other Organization Name | SAN JUAN LIVING CENTER |
| Practice Address |
1043 Ridge St Montrose CO 81401-4423 |
| Mailing Address |
5300 W Sam Houston Pkwy N Suite 100 Houston TX 77041-5161 |
| Practice Telephone | 9702499683 |
| Mailing Telephone | 8324676000 |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2015-04-13 |
| 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 |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | 1300 | CO | Respite Care Facility |
| Y | 314000000X | Skilled Nursing Facility | 1300 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 16287363 | 05 | |
| CO | 19005296 | 05 |
| Other Name | Type Code |
|---|---|
| San Juan Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932697380 | Ssc Montrose San Juan Operating Company LLC | Respite Care | 1043 Ridge St, Montrose, CO 81401-4423 | 2018-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SSC Montrose San Juan Operating Company LLC | 1043 Ridge, Montrose, CO 81401 |
| Street Address |
1043 RIDGE ST |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637457 | Audra Massey | Physical Therapist | 1043 Ridge St, Montrose, CO 81401-4423 | 2019-09-05 |
| 1932697380 | Ssc Montrose San Juan Operating Company LLC | Respite Care | 1043 Ridge St, Montrose, CO 81401-4423 | 2018-05-01 |
| 1811497985 | Shawna Coen | Registered Nurse | 1043 Ridge St, Montrose, CO 81401-4423 | 2018-02-15 |
| 1013439595 | Brittany Hodgson | Physical Therapist | 1043 Ridge St, Montrose, CO 81401-4423 | 2017-07-17 |
| 1366712358 | Valerie Rose Kepler | Speech-Language Pathologist | 1043 Ridge St, Montrose, CO 81401-4423 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1275990590 | Becky Helmink | Skilled Nursing Facility | 4773 E 1800th Ave, Montrose, IL 62445-2212 | 2016-01-16 |
| 1760812101 | Montrose Comfort Living and Care, Inc | Skilled Nursing Facility | 4339 Briggs Ave, Montrose, CA 91020-1107 | 2013-11-21 |
| 1447444856 | Verdugo Valley Skilled Nursing & Wellness Centre, LLC | Skilled Nursing Facility | 2635 Honolulu Ave, Montrose, CA 91020 | 2007-08-29 |
| 1609997527 | Ssc Montrose Bay Operating Company LLC | Skilled Nursing Facility | 22670 Main St, Montrose, AL 36559-0256 | 2007-04-02 |
| 1194897363 | Montrose Healthcare Inc | Skilled Nursing Facility | 2123 Verdugo Blvd, Montrose Healthcare Center, Montrose, CA 91020-1628 | 2006-11-14 |
| 1053332403 | Volunteers of America Care Facilities | Skilled Nursing Facility | 1401 S Cascade Ave, Montrose, CO 81401-5003 | 2006-07-21 |
| 1932169521 | Medilodge of Montrose Inc | Skilled Nursing Facility | 9317 Vienna Rd, Montrose, MI 48457-9729 | 2006-03-27 |
| 1518947415 | Montrose Health Center, Inc. | Skilled Nursing Facility | 400 S 7th St, Montrose, IA 52639-9777 | 2006-01-18 |
| 1457348369 | State of New York Comptrollers Office | Skilled Nursing Facility | 2090 Albany Post Rd, Montrose, NY 10548-1454 | 2005-10-05 |
| 1275165458 | Montrose Health Center Operations LLC | Skilled Nursing Facility | 400 S 7th St, Montrose, IA 52639-9549 | 2020-02-06 |
| Find all providers in MONTROSE | ||||
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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.