Organization Active NPI

West Routt Rural Health Council

  • Assisted Living Facility
  • Hayden, CO
National Provider Identifier
1003089426
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-0515 Issued in CO
Legal business name
WEST ROUTT RURAL HEALTH COUNCIL
Practice address
300 S Shelton LN
Hayden, CO 81639-9634
Phone
(970) 276-4484
Fax
(970) 276-4197
NPI assigned
Apr 7, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karen Burley
Title
Director
Phone
(970) 276-1414

National Provider Directory

National Provider Directory

Locations

300 S Shelton Ln
Hayden, CO 81639
Phone (970) 276-4484

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-0515 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

300 S Shelton LN
Hayden, CO 81639-9634

Mailing address

300 S Shelton LN
Hayden, CO 81639-9634
Phone (970) 276-4484

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
04182143MedicaidCO

Other names 1

NPPES NPI Registry
  • The Haven Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2008.

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1003089426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SHELTON LN",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816399634",
            "telephone_number": "970-276-4484",
            "fax_number": "970-276-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SHELTON LN",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816399634",
            "telephone_number": "970-276-4484",
            "fax_number": "970-276-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ROUTT RURAL HEALTH COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-276-1414"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04182143",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.