GREENWOOD MANOR INC (NPI# 1871084574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871084574 |
| Entity Type | Organization |
| Organization Name | GREENWOOD MANOR INC |
| Practice Address |
421 W 11th St Pueblo CO 81003-2806 |
| Practice Telephone | 7197782934 |
| Practice Fax Number | 7195426098 |
| Mailing Telephone | 7197782934 |
| Mailing Fax Number | 7195426098 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MR. KEVIN CARTER WELLS (ADMINISTRATOR) |
| Authorized Official Telephone | 7197782934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23062L | CO | Nursing & Custodial Care Facilities |
| Street Address |
421 W 11TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| 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 |
|---|---|---|---|---|
| 1225512619 | The Citadel Alzheimers and Dementia Assisted Living | Assisted Living Facility | 431 Quincy St, Pueblo, CO 81004-2027 | 2018-09-20 |
| 1578927042 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 4723 Surfwood Ln, Pueblo, CO 81005-4627 | 2016-04-11 |
| 1003273053 | Villa Grove Assisted Living Home | Assisted Living Facility | 715 E B St, Pueblo, CO 81003-3504 | 2016-01-21 |
| 1356712129 | Oakshire Gardens | Assisted Living Facility | 2400 Oakshire Ln, Pueblo, CO 81001-5653 | 2015-10-19 |
| 1033580808 | Trinity Life Gardens | Assisted Living Facility | 2430 Oakshire Ln, Pueblo, CO 81001-5655 | 2015-10-19 |
| 1336510114 | North Pointe Gardens | Assisted Living Facility | 3777 Parker Blvd, Pueblo, CO 81008-2218 | 2015-10-19 |
| 1285030072 | Rock Canyon Healthcare, Inc. | Assisted Living Facility | 1611 Alma Ave, Pueblo, CO 81004-2609 | 2014-11-06 |
| 1669807731 | 1111 Bonforte Opco, LLC | Assisted Living Facility | 855 Hunter Dr, Pueblo, CO 81001-1867 | 2013-09-09 |
| 1831312339 | Golden Gate Manor | Assisted Living Facility | 606 W Abriendo Ave, Pueblo, CO 81004-1545 | 2007-04-11 |
| 1184776098 | Caren Diane Pease | Assisted Living Facility | 401 West 13th Street, Pease Guest Home, Pueblo, CO 81003 | 2007-01-18 |
| Find all providers in PUEBLO | ||||
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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.