MT ROSE HEALTH CENTER PALLIATIVE CARE AND HOSPICE INC (NPI# 1982052452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982052452 |
Entity Type | Organization |
Organization Name | MT ROSE HEALTH CENTER PALLIATIVE CARE AND HOSPICE INC |
Practice Address |
409 Benedicta Ave Suite A Trinidad CO 81082-2004 |
Practice Telephone | 7198468478 |
Practice Fax Number | 7198462941 |
Mailing Telephone | 7198468478 |
Mailing Fax Number | 7198462941 |
Enumeration Date | 2016-05-25 |
Last Update Date | 2017-05-02 |
Authorized Official Name | MS. VALERIE J BORSA (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7196802677 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315D00000X | Hospice, Inpatient | 38779 | CO | Nursing & Custodial Care Facilities |
Street Address |
409 BENEDICTA AVE SUITE A |
City | TRINIDAD |
State | CO |
Zip Code | 81082-2004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033106760 | State of Colorado | Skilled Nursing Facility | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2005-09-27 |
1144843228 | Kandra Selby Kendall | Physical Therapist | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2020-05-22 |
1447709837 | Amy Karls | Occupational Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-09-26 |
1659726578 | Sherri Incitti | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-04-28 |
1841657723 | Trinidad Inn Inc | Respite Care | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-01-22 |
1861890329 | Annie Holgerson | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2014-12-16 |
1356754725 | Lisa Rose Baca | Occupational Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2014-06-03 |
1225474901 | Mt Rose Health Center | Legal Medicine | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-0000 | 2013-05-21 |
1346597143 | Rebecca Lynne Nolan | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2012-08-10 |
1891086898 | Sara Jan Ferguson | Occupational Therapist | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2011-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
1912427030 | Gwyndolyn Suzanne Snyder | Nurse Practitioner | 1112 Grant Ave, Trinidad, CO 81082 | 2017-06-20 |
1336273143 | Online Therapy Services Inc. | Speech-Language Pathologist | 207 E Main, Trinidad, CO 81082 | 2007-03-15 |
1023119203 | Paul Andreatta D.d.s.p.c. | Dentist | 1723 E. Main St., Trinidad, CO 81082 | 2006-09-26 |
1467400309 | Trinidad Area Health Association | Internal Medicine | 400 Benedicta Ave Ste A, Trinidad, CO 81082 | 2006-05-04 |
1235651670 | Kevin Patrick Crosby | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2017-07-07 |
1174054928 | Brittany Ladonna Jauernig | Chiropractor | 500 San Juan St, Trinidad, CO 81082 | 2017-03-23 |
1982142188 | Southern Colorado Developmental Disabilities Services, Inc | Case Manager/Care Coordinator | 415 S Indiana Ave, Trinidad, CO 81082 | 2017-02-08 |
1295001071 | James Ashley Ward | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2012-03-27 |
1275704694 | Steven David Blohm | Dentist | 209 E Main, Trinidad, CO 81082 | 2008-03-13 |
Find all providers in zip 81082 |
Taxonomy Code | 315D00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Hospice, Inpatient |
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
Notes: Source: AHA Guide, American Hospital Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639527930 | Master's Touch Homes, Inc. | Hospice, Inpatient | 7422 S Marion St, Centennial, CO 80122-1469 | 2016-05-26 |
1881627644 | Gunnison Valley Health Senior Care Center | Hospice, Inpatient | 120 North Boulevard, Gunnison, CO 81230-3711 | 2006-07-07 |
1255360301 | Scl Health Front Range, Inc | Hospice, Inpatient | 3210 Lutheran Pkwy, Wheat Ridge, CO 80033-6019 | 2006-07-01 |
1801892625 | Pikes Peak Hospice and Palliative Care Inc | Hospice, Inpatient | 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 | 2005-06-27 |
1912239245 | Hospice & Palliative Care of Northern Colorado | Hospice, Inpatient | 2726 W 11th Street Rd, Greeley, CO 80634-5408 | 2010-02-11 |
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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.