Active NPI
Valley View Care Center LLC
- Skilled Nursing Facility
- Canon City, CO
National Provider Identifier
1376396309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VALLEY VIEW CARE CENTER LLC
- Practice address
- 2120 N 10TH St
Canon City, CO 81212-2211 - Phone
- (719) 275-7569
- Fax
- (719) 275-3890
- NPI assigned
- Apr 9, 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
- Mary Koretke
- Title
- Director Cost Reporting
- Phone
- (303) 378-8320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2120 N 10TH St
Canon City, CO 81212-2211
Mailing address
720 S Colorado Blvd Ste 211
Glendale, CO 80246-1904
Phone (720) 974-6278
Other names 1
- Valley View Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Valley View Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Canon City, CO
- NPI 1295688687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1376396309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD STE 211",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461904",
"telephone_number": "720-974-6278",
"fax_number": "303-987-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 N 10TH ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122211",
"telephone_number": "719-275-7569",
"fax_number": "719-275-3890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY VIEW CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "KORETKE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR COST REPORTING",
"authorized_official_telephone_number": "303-378-8320"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley View Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.