Active NPI
Larchwood Inns Inc
- Skilled Nursing Facility
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0024
- Legal business name
- LARCHWOOD INNS INC
- Practice address
- 2845 N 15TH St
Grand Junction, CO 81506-5219 - Phone
- (970) 245-0022
- Fax
- (970) 245-0044
- NPI assigned
- Aug 2, 2005
- 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. Melissa K. Wood, R,.N., N.H.A
- Title
- Administrator
- Phone
- (970) 245-0022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0024 | CO | Primary |
Addresses
Primary practice location
2845 N 15TH St
Grand Junction, CO 81506-5219
Mailing address
2845 N 15TH St
Grand Junction, CO 81506-5219
Phone (970) 245-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05652334 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120326000042 | CO | Part A Provider - Skilled Nursing Facility | 9537326467 | Practice locations: Grand Junction, CO |
Skilled nursing facility certification: CCN 065331
- Legal name
- LARCHWOOD INNS INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 22, 1994
- Last certification
- Apr 11, 2024
- Beds
- 130
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 21, 1993 in CO
- Enrollment address
- 2845 N 15TH St
Grand Junction, CO 81506-5219 - Nursing home name
- LARCHWOOD HEALTH AND REHAB LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Larchwood Health and Rehab LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 22, 1994
- Medicare certification status
- Active
- Certified beds
- 130
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
2845 N 15th St
Grand Junction, CO 81506
Phone (970) 245-0022
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeanane M. Jiles | 5% Or Greater Direct Ownership Interest | Dec 1, 2014 | 50% |
| Corporate Director | Dec 1, 2014 | 50% | |
| Melissa K. Wood | Corporate Director | Jan 31, 2012 | |
| Operational/Managerial Control | Jan 31, 2012 | 100% | |
| Jon P Jiles | 5% Or Greater Direct Ownership Interest | Dec 1, 2014 | 50% |
| Corporate Officer | Dec 1, 2014 | 50% | |
| Corporate Director | Dec 1, 2014 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Grand Junction, CO
- NPI 1972617686
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1366443350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 N 15TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815065219",
"telephone_number": "970-245-0022",
"fax_number": "970-245-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 N 15TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815065219",
"telephone_number": "970-245-0022",
"fax_number": "970-245-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARCHWOOD INNS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "970-245-0022",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R,.N., N.H.A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "0024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05652334",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.