Greeley Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

GREELEY MEMORY CARE LLC

Practice address

7010 W 8TH St
Greeley, CO 80634-1213

Phone

(970) 449-7199

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Donal K Harris

Title

Member

Phone

(503) 991-6412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1073127239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 SW VISTA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012453",
            "telephone_number": "503-991-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 W 8TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341213",
            "telephone_number": "970-449-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DONAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-991-6412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Greeley Modern Dentistry, LLP
• Greeley Orthodontic Center
• Greeley Prosthodontics
• Greeley Xray Group PC
• Thomas Greeley, LCSW

• Alzheimer Center (Dementia Center) in Greeley, CO
• Providers in Greeley, CO by specialty
• Alzheimer Center (Dementia Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.