Poplar Grove Health & Rehab, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POPLAR GROVE HEALTH & REHAB, INC

Practice address

7150 Poplar St
Commerce City, CO 80022-2147

Phone

(303) 289-7110

Fax

(303) 288-3517

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Gary R Trebert

Title

Ceo

Phone

(817) 359-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174595169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155635",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761550635",
            "telephone_number": "817-359-2000",
            "fax_number": "817-359-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 POPLAR ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800222147",
            "telephone_number": "303-289-7110",
            "fax_number": "303-288-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR GROVE HEALTH & REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREBERT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-359-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45582220",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Commerce City, CO
• Providers in Commerce City, 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 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.