Poudre Canyon Health and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POUDRE CANYON HEALTH AND REHABILITATION CENTER LLC

Practice address

1000 S Lemay Ave
Fort Collins, CO 80524-3914

Phone

(970) 482-7925

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Zisha Margulies

Title

Ceo

Phone

(718) 942-3483

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1144896192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243914",
            "telephone_number": "970-482-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE CANYON HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "ZISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pcc",
            "affiliation": "N",
            "endpointDescription": "medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 S LeMay Ave",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805243914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amie Potter
• Andrea Potter, MS, CCC-SLP
• Nancy J Potter, M.A., BCBA
• Ashley Brooke Potthoff, MA
• Janet S Potts, PT
• Poudre Canyon Health and Rehabilitation Center LLC
• Poudre Canyon Rehabilitation and Nursing, LLC
• Poudre Drug Company
• Poudre Infusion Therapy LLC
• Poudre Infusion Therapy LLC

• Skilled Nursing Facility in Fort Collins, CO
• Providers in Fort Collins, 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 Jan 17, 2023; 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.