Active NPI
Mesa View Retirement Home Inc.
- Assisted Living Facility
- Cortez, CO
National Provider Identifier
1306231642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 231289
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04182176 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Psychologist
- Coaldale, CO
- NPI 1578892683
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.