Eagle LTC Investors, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0110 Issued in CO

Legal business name

EAGLE LTC INVESTORS, LLC

Practice address

2000 Robin Rd
Sterling, CO 80751-4705

Phone

(970) 526-0400

Fax

(970) 526-2976

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Donald Kanen

Title

Cfo

Phone

(719) 589-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy at Sterling Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255392254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-589-2063",
            "fax_number": "719-589-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROBIN RD",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514705",
            "telephone_number": "970-526-0400",
            "fax_number": "970-526-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE LTC INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-589-2063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12559709",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy at Sterling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Linda Lipstein, O.D., LLC
• John H Drury, M.D.
• Wendy Sue Dudley
• Ana Raquel Duenez, PHARMD.
• Alisa S. Dykstra, RDH
• Early Intervention Professionals, LLC
• Eastern Colorado Home Care LLC.
• Eastern Colorado Services for the DD
• Eastern Colorado Services for the Developmentally Disabled, Inc
• Eastern Colorado Services for the Developmentally Disabled, Inc

• Assisted Living Facility in Sterling, CO
• Providers in Sterling, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.