Signature the Retreat

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0860 Issued in CO

Legal business name

SIGNATURE THE RETREAT

Practice address

10190 Wadsworth Blvd
Westminster, CO 80021-5491

Phone

(303) 469-7178

Fax

(303) 464-7658

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Avery

Title

Executive Director

Phone

(303) 469-7178

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Retreat at Church Ranch Former legal business name

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245454933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 WADSWORTH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215491",
            "telephone_number": "303-469-7178",
            "fax_number": "303-464-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 WADSWORTH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215491",
            "telephone_number": "303-469-7178",
            "fax_number": "303-464-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE THE RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-469-7178"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85326879",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retreat at Church Ranch",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven James Siano, MD
• Jacqueline Elise Sibley, MS, RD
• Jessica Sidhu
• Michaela Sievers, DC
• Sigma One Group LLC
• Stephanie Nicole Silva, LMT
• Linda Silverman, PHD
• Valerie Anne Simo, M. TH
• Dorian Harinder Singh, PT, DPT
• Guri Singh, MD

• Assisted Living Facility in Westminster, CO
• Providers in Westminster, 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 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.