Alliance LTC Investors,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF048 Issued in NE

Legal business name

ALLIANCE LTC INVESTORS,LLC

Doing business as

Crossroads at Alliance

Practice address

2415 Mullins Ave
Suite 8
Alamosa, CO 81101-4274

Phone

(719) 589-2063

Fax

(719) 589-8891

NPI assigned

Sep 28, 2007

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Kanen

Title

Chief Financial Officer

Phone

(719) 589-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossroads at Alliance Doing business as

Locations

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1043407596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 24TH ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012156",
            "telephone_number": "308-762-1615",
            "fax_number": "308-762-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "address_2": "SUITE 8",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-589-2063",
            "fax_number": "719-589-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE LTC INVESTORS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "719-589-2063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002552400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads at Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Alamosa, CO
• Providers in Alamosa, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.