Grayco,Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

230374 Issued in CO

Legal business name

GRAYCO,INC.

Doing business as

Gray Cara West

Practice address

3705 Carson Ave
Evans, CO 80620-2501

Phone

(970) 330-5133

Fax

(970) 330-4286

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Baer

Title

Owner

Phone

(970) 330-5133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gray Cara West Doing business as

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356566202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 CARSON AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806202501",
            "telephone_number": "970-330-5133",
            "fax_number": "970-330-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 CARSON AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806202501",
            "telephone_number": "970-330-5133",
            "fax_number": "970-330-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYCO,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-330-5133"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13578529",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray Cara West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Libby Goode-Grasmick, DC
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• Assisted Living Facility in Evans, CO
• Providers in Evans, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.