Organization Active NPI

Grand View Care Lodge

  • Physical Disabilities Residential Treatment Facility
  • Grand Junction, CO
National Provider Identifier
1194931857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
GRAND VIEW CARE LODGE
Practice address
647 Round Hill Dr
Grand Junction, CO 81506-1438
Phone
(970) 241-8896
Fax
(970) 241-8799
NPI assigned
May 16, 2007
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
Korene M. Ewing
Title
Administrator
Phone
(970) 241-8896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X CO Primary

Addresses

Primary practice location

647 Round Hill Dr
Grand Junction, CO 81506-1438

Mailing address

647 Round Hill Dr
Grand Junction, CO 81506-1438
Phone (970) 241-8896

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194931857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 ROUND HILL DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061438",
            "telephone_number": "970-241-8896",
            "fax_number": "970-241-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 ROUND HILL DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061438",
            "telephone_number": "970-241-8896",
            "fax_number": "970-241-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VIEW CARE LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "KORENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-241-8896"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, 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.