HP White River

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0145 Issued in CO

Legal business name

HP WHITE RIVER

Doing business as

Glen Valley Care & Rehab Center

Practice address

2305 Blake Ave
Glenwood Springs, CO 81601-4325

Phone

(970) 945-5476

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By 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

Michelle L Burdette

Title

Director of Finance

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GLEN VALLEY CARE & REHAB CENTER Doing business as

Tax ID family

Glen Valley Care and Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• HP White River, Inc.

  dba Glen Valley Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Glenwood Springs, CO
  • NPI 1871646794
  NPD tax ID

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407908080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014325",
            "telephone_number": "970-945-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014325",
            "telephone_number": "970-945-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP WHITE RIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17538351",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLEN VALLEY CARE & REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hospice of the Valley (Transitions Care)
• Hospice of the Valley, Inc.
• Hospice of the Valley, Inc. (HomeCare of the Valley)
• Hospice of the Valley, Inc. (HomeCare and Hospice of the Valley)
• Hospice of the Valley, Inc. (HomeCare of the Valley)
• HP White River, Inc. (Glen Valley Care and Rehabilitation Center)
• Kristine Elaine Hubbell, RN RNFA
• Alton Keith Hughes, MD
• Stephen Hughes
• Timothy Huson, D.D.S.

• Skilled Nursing Facility in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.