NPIMap

Organization Active NPI

Burlington Nursing Home LLC

Doing business as Grace Manor Care Center

  • Skilled Nursing Facility
  • Burlington, CO
National Provider Identifier
1396830709
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0066 Issued in CO
Legal business name
BURLINGTON NURSING HOME LLC
Doing business as
Grace Manor Care Center
Practice address
465 5TH Street
Burlington, CO 80807-1932
Phone
(719) 346-7512
Fax
(719) 346-9373
NPI assigned
Oct 3, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Mr. David Bruce Beardsley
Title
Owner
Phone
(423) 336-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0066 CO Primary

Addresses

Primary practice location

465 5TH Street
Burlington, CO 80807-1932

Mailing address

465 5TH St
Burlington, CO 80807-1932
Phone (719) 346-7512

Other names 1

  • Grace Manor Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madison Senior Living Management LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1396830709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 5TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071932",
            "telephone_number": "719-346-7512",
            "fax_number": "719-346-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 5TH STREET",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071932",
            "telephone_number": "719-346-7512",
            "fax_number": "719-346-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-336-6744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.