QL-Allison Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020406 Issued in CO

Legal business name

QL-ALLISON CARE CENTER

Doing business as

Allison Care Center

Practice address

1660 Allison St
Lakewood, CO 80214-6023

Phone

(303) 232-7177

Fax

(303) 232-0122

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director of Reimbursement

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allison Care Center Doing business as

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1184083602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 ALLISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802146023",
            "telephone_number": "303-232-7177",
            "fax_number": "303-232-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 ALLISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802146023",
            "telephone_number": "303-232-7177",
            "fax_number": "303-232-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QL-ALLISON CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80605028",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allison Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Putnoy
• Dierre N Puumala, FNP
• Katrina Isobel Py
• Jasmine Pyne, RBT
• Magdalena Pyrtek Smith, BCBA
• QL-Allison Care Center, LLC
• QL-Cambridge Care Center, LLC
• QL-Cambridge Care Center, LLC
• QL-Harmony Pointe Nursing Center, LLC
• QL-Harmony Pointe Nursing Center, LLC

• Skilled Nursing Facility in Lakewood, CO
• Providers in Lakewood, 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 Feb 11, 2016; 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.