NPIMap

Organization Active NPI

Volunteers of America Homestead 2000, Inc.

  • Assisted Living Facility
  • Grand Junction, CO
National Provider Identifier
1124140660
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-0204 Issued in CO
Legal business name
VOLUNTEERS OF AMERICA HOMESTEAD 2000, INC.
Doing business as
Heritage Senior Homes - Falls 3
Practice address
2835 Patterson Rd
Grand Junction, CO 81506-6066
Phone
(970) 243-7224
Fax
(970) 243-0533
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Nancy Gavin
Title
Assistant Secretary, Treasurer
Phone
(952) 941-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-0204 CO Primary

Addresses

Primary practice location

2835 Patterson Rd
Grand Junction, CO 81506-6066

Mailing address

7485 Office Ridge Cir
Eden Prairie, MN 55344-3690
Phone (952) 941-0305

Other identifiers 1

IdentifierTypeStateIssuer
01622030MedicaidCO

Other names 1

  • Heritage Senior Homes - Falls 3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Senior Homes - Falls 34 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2835 Patterson Rd
Grand Junction, CO 81506
Phone (970) 243-7224

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1124140660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 OFFICE RIDGE CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443690",
            "telephone_number": "952-941-0305",
            "fax_number": "952-941-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066066",
            "telephone_number": "970-243-7224",
            "fax_number": "970-243-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA HOMESTEAD 2000, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY, TREASURER",
        "authorized_official_telephone_number": "952-941-0305"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01622030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Senior Homes - Falls 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Senior Homes - Falls 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.