Carla'S Cluster Care, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0688 Issued in CO

Legal business name

CARLA'S CLUSTER CARE, INC

Practice address

2050 6TH St
Limon, CO 80828-2114

Phone

(719) 775-9412

Fax

(719) 775-9426

NPI assigned

Apr 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Harvey G Martin

Title

Cheif Finiancial Officer

Phone

(719) 740-8732

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Carla'S Cluster Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carla'S Cluster Care Inc

  • Assisted Living Facility
  • Limon, CO
  • NPI 1255882098
  NPD tax ID

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235259102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 6TH ST",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "808282114",
            "telephone_number": "719-775-9412",
            "fax_number": "719-775-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 6TH ST",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "808282114",
            "telephone_number": "719-775-9412",
            "fax_number": "719-775-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA'S CLUSTER CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHEIF FINIANCIAL OFFICER",
        "authorized_official_telephone_number": "719-740-8732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56388837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Gay Bloor, M.D.
• Branon D Johnson DDS PC
• Diana D Briscoe
• David Jonathan Busse, DDS
• Carla'S Cluster Care Inc
• Richard Carroll, MA
• Centennial Mental Health Center
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.

• All providers in Limon, CO
• Assisted Living 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.