Rocky Mountain Independent Living, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04V719 Issued in CO

Legal business name

ROCKY MOUNTAIN INDEPENDENT LIVING, INC.

Doing business as

Amada Senior Care of Northern Colorado

Practice address

2850 McClelland Dr
3000-K
Fort Collins, CO 80525-2586

Phone

(970) 237-5747

Fax

(970) 237-6726

NPI assigned

Apr 25, 2017

Last updated

Apr 25, 2017By 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

Lisa Olsen

Title

Administrator

Phone

(970) 237-5747

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care of Northern Colorado Doing business as

Locations

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1366977563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR",
            "address_2": "3000-K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252586",
            "telephone_number": "970-237-5747",
            "fax_number": "970-237-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR",
            "address_2": "3000-K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252586",
            "telephone_number": "970-237-5747",
            "fax_number": "970-237-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-237-5747"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04V719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care of Northern Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.