Greeley Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREELEY ASSISTED LIVING, LLC

Practice address

1663 29TH Avenue PL
Greeley, CO 80634-6822

Phone

(970) 336-9063

Fax

(970) 336-9110

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Robert Tod Murray

Title

Coo

Phone

(480) 599-3459

Specialties & licenses 2

Addresses

Other names 1

• Garden Square of Greeley Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Niccole Gonzalez

  • Community Health Worker
  • Greeley, CO
  • NPI 1508755349
  NPD

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1205594355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 29TH AVENUE PL",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346822",
            "telephone_number": "970-336-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 29TH AVENUE PL",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346822",
            "telephone_number": "970-336-9063",
            "fax_number": "970-336-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TOD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-599-3459",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Square of Greeley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garden Square of Greeley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarah Adrianna Grashorn
• Brent D Grauerholz, MD
• Melissa Gray
• Great Plains Mental Health Partners Inc
• Greeley Anesthesia Specialists PC
• Greeley Dental and Orthodontics PLLC
• Greeley Dental Care GPS PLLC
• Greeley Dental, Professional LLC
• Greeley Dental, Professional LLC
• Greeley Endoscopy Center, LLC

• Assisted Living Facility in Greeley, CO
• Providers in Greeley, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.