SSC MONTROSE SAN JUAN OPERATING COMPANY LLC (NPI# 1932697380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932697380 |
| 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 Ste 100 Houston TX 77041-5162 |
| Practice Telephone | 9702499683 |
| Mailing Telephone | 8624676000 |
| Mailing Fax Number | 8324678500 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | KEN PITTS (DIRECTOR REIMBURSEMENT SERVICES) |
| Authorized Official Telephone | 8324676793 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSC MONTROSE SAN JUAN OPERATING COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 1300 | CO | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000160358 | 05 |
| Other Name | Type Code |
|---|---|
| San Juan Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699895565 | Ssc Montrose San Juan Operating Company LLC | Respite Care | 1043 Ridge St, Montrose, CO 81401-4423 | 2007-04-01 |
| 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 |
|---|---|---|---|---|
| 1699895565 | Ssc Montrose San Juan Operating Company LLC | Respite Care | 1043 Ridge St, Montrose, CO 81401-4423 | 2007-04-01 |
| 1720637457 | Audra Massey | Physical Therapist | 1043 Ridge St, Montrose, CO 81401-4423 | 2019-09-05 |
| 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 | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699895565 | Ssc Montrose San Juan Operating Company LLC | Respite Care | 1043 Ridge St, Montrose, CO 81401-4423 | 2007-04-01 |
| 1235391574 | Volunteers of America Care Facilities | Respite Care | 1401 S Cascade Ave, Montrose, CO 81401-5003 | 2008-06-27 |
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| 1306302906 | Sunset Homecare Inc | Respite Care | 1450 S Havana St Ste 708, Aurora, CO 80012-4034 | 2019-02-19 |
| 1588136683 | Joyfulcare Homes LLC | Respite Care | 6065 Hearth Ct, Colorado Springs, CO 80922-1829 | 2018-12-30 |
| 1669955779 | Caldwell Family Services Inc. | Respite Care | 9687 Golden Eagle Pl, Highlands Ranch, CO 80129-5780 | 2018-09-13 |
| 1275024739 | Ssc Palisade Operating Company LLC | Respite Care | 151 E 3rd Street, Palisade, CO 81526 | 2018-05-21 |
| 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.