Mid-States Senior Living LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MID-STATES SENIOR LIVING LLC

Practice address

400 W Midland Ave
Pob 5430
Woodland Park, CO 80863-3144

Phone

(719) 686-8140

Fax

(719) 686-8141

NPI assigned

Mar 8, 2011

Last updated

Mar 8, 2011By 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

Robert Charles Schleicher

Title

Managing Member

Phone

(719) 314-7522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1063710432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE",
            "address_2": "POB 5430",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633144",
            "telephone_number": "719-686-8140",
            "fax_number": "719-686-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE",
            "address_2": "POB 5430",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633144",
            "telephone_number": "719-686-8140",
            "fax_number": "719-686-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATES SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "SCHLEICHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "719-314-7522"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine N Matthews, LPCC
• Caitlyn McGinnis
• Sharon Renee McMahon, M.A PSYCHOLOGY
• Melanie McQuiston, LPC
• Michael G Messner, D.O.
• Amy L Miller, AGNP
• Norie Danielle Minor, FNP-C
• Christopher L. Mirabella, D.C.
• Andrew Mitchell, MD
• Brent K Morrill, DDS

• Skilled Nursing Facility in Woodland Park, CO
• Providers in Woodland Park, 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 Mar 8, 2011; 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.