Active NPI
Gendenver LLC
- Assisted Living Facility
- Denver, CO
National Provider Identifier
1265074181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GENDENVER LLC
- Practice address
- 2500 S Roslyn St
Denver, CO 80231-3745 - Phone
- (503) 652-0750
- NPI assigned
- Oct 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca Stayner
- Title
- Director of Compliance
- Phone
- (503) 594-2263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
2500 S Roslyn St
Denver, CO 80231-3745
Mailing address
8440 SE Sunnybrook Blvd Ste 100
Clackamas, OR 97015-5781
Phone (503) 652-0750
Other names 1
- Montage Hills
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0935922 | Montage Hills | Certificate of waiver | Nov 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
8440 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1265074181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 SE SUNNYBROOK BLVD STE 100",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155781",
"telephone_number": "503-652-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S ROSLYN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802313745",
"telephone_number": "503-652-0750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENDENVER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-11",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "STAYNER",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "503-594-2263",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montage Hills",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Montage Hills",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.