NPIMap

Organization Active NPI

Beneficial Living Systems

Doing business as Prairie View Care Center

  • Skilled Nursing Facility
  • Limon, CO
National Provider Identifier
1144376922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0317 Issued in CO
Legal business name
BENEFICIAL LIVING SYSTEMS
Doing business as
Prairie View Care Center
Practice address
1720 Circle Lane
Limon, CO 80828
Phone
(719) 775-9717
Fax
(719) 775-2208
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tracy M Fish
Title
Finance Manager
Phone
(602) 368-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0317 CO Primary

Addresses

Primary practice location

1720 Circle Lane
Limon, CO 80828

Mailing address

3519 E Shea Blvd
Suite 133
Phoenix, AZ 85028-3358
Phone (602) 368-8203

Other identifiers 2

IdentifierTypeStateIssuer
24550353MedicaidCO
62429744MedicaidCO

Other names 1

  • Prairie View Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beneficial Living Systems4 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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144376922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 E SHEA BLVD",
            "address_2": "SUITE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283358",
            "telephone_number": "602-368-8203",
            "fax_number": "602-368-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CIRCLE LANE",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "80828",
            "telephone_number": "719-775-9717",
            "fax_number": "719-775-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFICIAL LIVING SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "602-368-8203",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24550353",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62429744",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie View Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Limon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.