SSC Berthoud Operating Company LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SSC BERTHOUD OPERATING COMPANY LLC

Practice address

855 Franklin Ave
Berthoud, CO 80513-1158

Phone

(970) 532-2683

NPI assigned

Jun 8, 2018

Organization subpart

Yes

Parent organization

SSC BERTHOUD OPERATING COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Ken Pitts

Title

Director Reimbursement

Phone

(832) 467-6793

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Berthoud Living Center Doing business as

Part of

SSC Berthoud Operating Company LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• SSC Berthoud Operating Company LLC

  • Skilled Nursing Facility
  • Berthoud, CO
  • NPI 1326168287
  NPPES parent name

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1346733987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 FRANKLIN AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131158",
            "telephone_number": "970-532-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC BERTHOUD OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSC BERTHOUD OPERATING COMPANY LLC",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "832-467-6793"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000161936",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berthoud Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darla Shaw
• Dena Sue Sheppard-Madden, MD
• Jessica Sletten
• Cody Reed Somerville, DC
• SSC Berthoud Operating Company LLC
• William Web Stanton, D.C.
• Susan Jane Steele, L.AC
• Joanna Sullivan
• Superior Care Senior Living LLC
• Suzanne Foley LPC PLLC

• All providers in Berthoud, CO
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.