Grand Junction Regional Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

GRAND JUNCTION REGIONAL CENTER

Practice address

2882 Elm Ave
Grand Junction, CO 81501-5068

Phone

(970) 241-2243

NPI assigned

Jun 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer A Brown, RN

Title

Director

Phone

(702) 555-7039

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Junction Regional Center Other name

Tax ID family

Grand Junction Regional Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grand Junction Regional Center

  • Intellectual Disabilities Intermediate Care Facility
  • Grand Junction, CO
  • NPI 1700494713
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1023635703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 D RD BLDG A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046185",
            "telephone_number": "970-245-2100",
            "fax_number": "970-255-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 ELM AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015068",
            "telephone_number": "970-241-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-04-11",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-555-7039",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000187921",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Junction Regional Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grand Junction Regional Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grand Junction Gastroenterology, PLLC
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• Grand Junction Orthodontics, PC
• Grand Junction Pathologists, P.C.
• Grand Junction Regional Center
• Grand Junction Regional Center
• Grand Junction Regional Center
• Grand Junction Regional Center
• Grand Junction Regional Center

• All providers in Grand Junction, CO
• Intellectual Disabilities Intermediate Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.