33 SOUTHMOOR PROPERTIES, INC. (NPI# 1902803620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902803620 |
| Entity Type | Organization |
| Organization Name | 33 SOUTHMOOR PROPERTIES, INC. |
| Other Organization Name | WHEATRIDGE MANOR NURSING HOME |
| Practice Address |
2920 Fenton St Wheat Ridge CO 80214-8116 |
| Practice Telephone | 3032380481 |
| Practice Fax Number | 3032333775 |
| Mailing Telephone | 3032380481 |
| Mailing Fax Number | 3032333775 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | MR. JAY H. MOSKOWITZ (CEO) |
| Authorized Official Telephone | 3032383838 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 020436 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 80636217 | 05 | |
| CO | DMERC NUMBER | 4540660001 | 01 |
| Other Name | Type Code |
|---|---|
| WHEATRIDGE MANOR NURSING HOME | Doing Business As Name - Organization |
| Street Address |
2920 FENTON ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80214-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124485933 | 33 Southmoor Properties, Inc | Skilled Nursing Facility | 2920 Fenton St, Wheat Ridge, CO 80214-8116 | 2016-01-25 |
| 1407250194 | Genesis Rehab Services | Skilled Nursing Facility | 2920 Fenton St, Wheat Ridge, CO 80214-8116 | 2014-10-09 |
| 1124442751 | Mildred Stetson | Physical Therapist | 2920 Fenton St, Wheat Ridge, CO 80214-8116 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| 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 |
|---|---|---|---|---|
| 1164401956 | Conifer Care Communities C, LLC | Skilled Nursing Facility | 6270 W 38th Ave, Wheat Ridge, CO 80033-5056 | 2006-01-11 |
| 1023015799 | Sandalwood Manor, Inc | Skilled Nursing Facility | 3835 Harlan St, Wheat Ridge, CO 80033-5111 | 2005-07-07 |
| 1104461771 | Sandalwood Manor, Inc | Skilled Nursing Facility | 3835 Harlan St, Wheat Ridge, CO 80033-5111 | 2019-11-07 |
| 1356700876 | Conifer Care Communities C, LLC | Skilled Nursing Facility | 6270 W 38th Ave, Wheat Ridge, CO 80033-5056 | 2016-02-11 |
| 1124485933 | 33 Southmoor Properties, Inc | Skilled Nursing Facility | 2920 Fenton St, Wheat Ridge, CO 80214-8116 | 2016-01-25 |
| 1407250194 | Genesis Rehab Services | Skilled Nursing Facility | 2920 Fenton St, Wheat Ridge, CO 80214-8116 | 2014-10-09 |
| 1275518383 | Exempla Inc. | Skilled Nursing Facility | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1053956268 | La Junta Health Service District | Skilled Nursing Facility | 1904 San Juan Ave Rm 111, La Junta, CO 81050-3268 | 2019-11-12 |
| 1780235234 | Snh Co Tenant LLC | Skilled Nursing Facility | 2501 Little Bookcliff Drive, Grand Junction, CO 81501-8802 | 2019-09-26 |
| 1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1043701337 | Center At Centerplace, LLC | Skilled Nursing Facility | 4356 24th Street Rd, Greeley, CO 80634-3330 | 2018-05-23 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80214 |
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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.