Grey Havens, LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA.00749790 Issued in CO

Legal business name

GREY HAVENS, LLC

Practice address

12570 County Road 34
Platteville, CO 80651-8314

Phone

(970) 785-2819

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By 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

Lorien Kathleen Howe, CNA

Title

Owner

Phone

(303) 817-4703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1124509633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20066",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803083066",
            "telephone_number": "303-817-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 COUNTY ROAD 34",
            "city": "PLATTEVILLE",
            "state": "CO",
            "postal_code": "806518314",
            "telephone_number": "970-785-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY HAVENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "LORIEN",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-817-4703",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "CO",
            "license": "NA.00749790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaye Barney
• Sadie Becerra Ortega
• Angela Kay Brown, COTA/L,CLT
• Kelly Suzanne Doolittle, MA
• Beth Ann Dorian, DMD
• Gabriela Guevara
• Elizabeth Joy Grimes Kaplon, PSY.D.
• Karla Lynne Morton
• Sandra Rose Nunn, COTA
• Dea M Pehringer, LMT, HHP

• Nurse's Aide in Platteville, CO
• Providers in Platteville, CO by specialty
• Nurse's Aide in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.