QL-Allison Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0633 Issued in CO

Legal business name

QL-ALLISON CARE CENTER, LLC

Doing business as

ALLISON CARE CENTER

Practice address

1660 Allison St
Lakewood, CO 80214-6023

Phone

(303) 232-7177

Fax

(303) 232-0480

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jay H Moskowitz, NHA

Title

Ceo/Managing Member

Phone

(303) 238-3838

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ALLISON CARE CENTER Doing business as

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1063410587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 ALLISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802146023",
            "telephone_number": "303-232-7177",
            "fax_number": "303-232-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 ALLISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802146023",
            "telephone_number": "303-232-7177",
            "fax_number": "303-232-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QL-ALLISON CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "303-238-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63934272",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80605028",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLISON CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dierre N Puumala, FNP
• Katrina Isobel Py
• Jasmine Pyne, RBT
• Magdalena Pyrtek Smith, BCBA
• QL-Allison Care Center
• QL-Cambridge Care Center, LLC
• QL-Cambridge Care Center, LLC
• QL-Harmony Pointe Nursing Center, LLC
• QL-Harmony Pointe Nursing Center, LLC
• Stacy Alice Quackenbush

• Skilled Nursing Facility in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.