The Residence at Oakridge, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23R289 Issued in CO

Legal business name

THE RESIDENCE AT OAKRIDGE, LLC

Practice address

4750 Wheaton Dr
Fort Collins, CO 80525-9481

Phone

(970) 229-5800

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Robert Matrazzo, JD

Title

Coo

Phone

(305) 444-5007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Residence at Oakridge Doing business as

Locations

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1225401490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WHEATON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259481",
            "telephone_number": "970-229-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WHEATON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259481",
            "telephone_number": "970-229-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESIDENCE AT OAKRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "MATRAZZO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-444-5007",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23R289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24808831",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residence at Oakridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Residence at Oakridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fort Collins, CO
• Providers in Fort Collins, 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 Aug 26, 2022; 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.