SSC LONGMONT OPERATING COMPANY LLC (NPI# 1760970842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760970842 |
| Entity Type | Organization |
| Organization Name | SSC LONGMONT OPERATING COMPANY LLC |
| Other Organization Name | APPLEWOOD LIVING CENTER |
| Practice Address |
1800 Stroh Pl Longmont CO 80501-3214 |
| Mailing Address |
5300 W Sam Houston Pkwy N Ste 100 Houston TX 77041-5162 |
| Practice Telephone | 3037766081 |
| Mailing Telephone | 8624676000 |
| Mailing Fax Number | 8324678500 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Authorized Official Name | KEN PITTS (DIRECTOR REIMBURSEMENT) |
| Authorized Official Telephone | 8324676793 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPLEWOOD LIVING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 1280 | CO | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000160179 | 05 |
| Other Name | Type Code |
|---|---|
| Applewood Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063532927 | Ssc Longmont Operating Company LLC | Skilled Nursing Facility | 1800 Stroh Pl, Longmont, CO 80501-3214 | 2007-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SSC Longmont Operating Company LLC | 1800 Stroh Place, Longmont, CO 80501 |
| Street Address |
1800 STROH PL |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063532927 | Ssc Longmont Operating Company LLC | Skilled Nursing Facility | 1800 Stroh Pl, Longmont, CO 80501-3214 | 2007-04-01 |
| 1982263059 | Elyssa Neurohr | Occupational Therapist | 1800 Stroh Pl, Longmont, CO 80501-3214 | 2019-06-11 |
| 1679769699 | Helen A Wolfe | Physical Therapist | 1800 Stroh Pl, Longmont, CO 80501-3214 | 2007-09-24 |
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|---|---|---|---|---|
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| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
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| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
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| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
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|---|---|---|---|---|
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| 1891823399 | Longmont United Hospital | Respite Care | 1380 Tulip St, Longmont, CO 80501-3157 | 2007-02-28 |
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| 1275024739 | Ssc Palisade Operating Company LLC | Respite Care | 151 E 3rd Street, Palisade, CO 81526 | 2018-05-21 |
| 1386134377 | Ab Advanced Services | Respite Care | 4312 Ceylon St, Denver, CO 80249-6502 | 2018-05-15 |
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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.