Active NPI
Mesa Vista Healthcare LLC
Doing business as Boulder Post Acute
- Skilled Nursing Facility
- Boulder, CO
National Provider Identifier
1376388926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MESA VISTA HEALTHCARE LLC
- Doing business as
- Boulder Post Acute
- Practice address
- 2121 Mesa Dr
Boulder, CO 80304-3621 - Phone
- (303) 442-4037
- NPI assigned
- Jun 26, 2024
- 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
- John Mitchell
- Title
- Secretart
- Phone
- (385) 988-3319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2121 Mesa Dr
Boulder, CO 80304-3621
Mailing address
262 N University Ave
Farmington, UT 84025-2975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000001 | Other | CO | HOSPITAL BACK UP (HBU) PROGRAM |
Other names 1
- Boulder Post Acute
National Provider Directory
National Provider Directory- Tax ID family
- Boulder Post Acute
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Boulder Post Acute
- Skilled Nursing Facility
- Boulder, CO
- NPI 1366251142
-
dba Boulder Post Acute
- Skilled Nursing Facility
- Boulder, CO
- NPI 1912610890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1376388926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 N UNIVERSITY AVE",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MESA DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043621",
"telephone_number": "303-442-4037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA VISTA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SECRETART",
"authorized_official_telephone_number": "385-988-3319"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL BACK UP (HBU) PROGRAM",
"identifier": "0000001",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boulder Post Acute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Boulder Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.