RED OAK REHABILITATION AND CARE COMMUNITY, LLC (NPI# 1700418191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700418191 |
| Entity Type | Organization |
| Organization Name | RED OAK REHABILITATION AND CARE COMMUNITY, LLC |
| Practice Address |
816 S Interocean Ave Holyoke CO 80734-2120 |
| Mailing Address |
12136 W Bayaud Ave Ste 200 Lakewood CO 80228-2115 |
| Practice Telephone | 9708542251 |
| Practice Fax Number | 9708542610 |
| Mailing Telephone | 3032383838 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | MARY KORETKE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 3032383838 |
| Is Organization Subpart | Y |
| Parent Organization Name | RED OAK REHABILITATION AND CARE COMMUNITY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Carriage House Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416849 | Red Oak Rehabilitation and Care Community, LLC | Skilled Nursing Facility | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2020-01-16 |
| Street Address |
816 S INTEROCEAN AVE |
| City | HOLYOKE |
| State | CO |
| Zip Code | 80734-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881682219 | Holyoke Health & Rehab, Inc | Skilled Nursing Facility | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2005-10-10 |
| 1700416849 | Red Oak Rehabilitation and Care Community, LLC | Skilled Nursing Facility | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2020-01-16 |
| 1780170589 | Erin Doyle | Occupational Therapist | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2018-07-03 |
| 1629236112 | Pinnacle Health Facilities Xvi Lp | Respite Care | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2008-05-30 |
| 1215011572 | Pinnacle Health Facilities Xvi Lp | Skilled Nursing Facility | 816 S Interocean Ave, Holyoke, CO 80734-2120 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992053706 | Sandra Mendoza Rafols | Physical Therapy Assistant | 618 S. Interocean Ave., Holyoke, CO 80734 | 2012-08-28 |
| 1952574105 | Pamida Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 118 South Interocean Ave, Holyoke, CO 80734 | 2008-04-09 |
| 1861806929 | Daniela Monique De Vargas Boyer | Family Medicine | 1001 E Johnson St, Melissa Memorial Hospital, Holyoke, CO 80734 | 2014-06-17 |
| 1891935797 | Centennial Mental Health Center | Community/Behavioral Health | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-03-05 |
| 1851810337 | Centennial Mental Health Center, Inc. | Clinic/Center | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2017-09-15 |
| 1093113938 | Sharon Murray | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-12-09 |
| 1629484795 | Dorothy Drake | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2014-07-09 |
| 1932538725 | Ronnie Bahler | Social Worker | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2013-11-02 |
| 1942565296 | Jose Leon | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2012-07-11 |
| 1831328087 | Edward Barry Winckler | Counselor | 115 N Campbell Ave, Holyoke, CO 80734-1003 | 2009-07-09 |
| Find all providers in zip 80734 | ||||
| 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 |
|---|---|---|---|---|
| 1245365022 | Congregation of The Sisters of St. Joseph of Springfield | Assisted Living Facility | 34 Lower Westfield Rd, Ste 1, Holyoke, MA 01040-2749 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1316553068 | Lower Valley Hospital Association | Assisted Living Facility | 243 N Cherry St, Fruita, CO 81521-2102 | 2020-09-18 |
| 1003427311 | Easley Senior Care LLC | Assisted Living Facility | 17351 W 64th Ave, Arvada, CO 80007-7796 | 2020-08-11 |
| 1528676111 | Pine Ridge Terrace Manor LLC | Assisted Living Facility | 378 S Pearl St, Elizabeth, CO 80107-7519 | 2020-07-20 |
| 1669090965 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2240 Pratt St, Longmont, CO 80501-1497 | 2020-07-13 |
| 1699393728 | Planet View Inc. | Assisted Living Facility | 6994 County Road 39, Fort Lupton, CO 80621-8528 | 2020-07-06 |
| 1093339665 | Graceful Hearts Assisted Living | Assisted Living Facility | 6780 E Lake Cir, Centennial, CO 80111-4410 | 2020-05-30 |
| 1912520925 | Apex Assisted Living LLC | Assisted Living Facility | 3071 S Rosemary St, Denver, CO 80231-4186 | 2020-05-26 |
| 1477175172 | Eben Ezer Lutheran Care Center | Assisted Living Facility | 1910 Edison St, Brush, CO 80723-1743 | 2020-05-15 |
| 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.