Organization Active NPI

Mesa View Retirement Home Inc.

  • Assisted Living Facility
  • Cortez, CO
National Provider Identifier
1306231642
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
231289 Issued in CO
Legal business name
MESA VIEW RETIREMENT HOME INC.
Practice address
24760 County Road G
Cortez, CO 81321
Phone
(970) 564-0716
Fax
(970) 564-9156
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Mrs. Ina Lujeane Warren
Title
Owner/Operator
Phone
(970) 749-0356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 231289 CO Primary

Addresses

Primary practice location

24760 County Road G
Cortez, CO 81321

Mailing address

16200 Road 31
Mancos, CO 81328
Phone (970) 749-0356

Other identifiers 1

IdentifierTypeStateIssuer
04182176MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1306231642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 ROAD 31",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "81328",
            "telephone_number": "970-749-0356",
            "fax_number": "970-882-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24760 COUNTY ROAD G",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-564-0716",
            "fax_number": "970-564-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA VIEW RETIREMENT HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "INA",
        "authorized_official_middle_name": "LUJEANE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "970-749-0356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "231289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04182176",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.