Active NPI
Camelot Health Care, Inc.
Doing business as Valley View Care Center
- Skilled Nursing Facility
- Canon City, CO
National Provider Identifier
1013647726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CAMELOT HEALTH CARE, INC.
- Doing business as
- Valley View Care Center
- Practice address
- 2120 N 10TH St
Canon City, CO 81212-2283 - Phone
- (719) 275-7569
- Fax
- (719) 275-3890
- NPI assigned
- Jun 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Koretke
- Title
- Director of Reimbursement
- Phone
- (720) 974-6278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2120 N 10TH St
Canon City, CO 81212-2283
Mailing address
720 S Colorado Blvd Ste 211
Glendale, CO 80246-1923
Phone (720) 974-6278
Other names 1
- Valley View Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1013647726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD STE 211",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461923",
"telephone_number": "720-974-6278",
"fax_number": "303-987-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 N 10TH ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122283",
"telephone_number": "719-275-7569",
"fax_number": "719-275-3890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELOT HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-15",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "KORETKE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "720-974-6278"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley View Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley View Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.