NPIMap

Organization Active NPI

Colorado Senior Residences, Inc

Doing business as Casey's Pond Senior Living

  • Assisted Living Facility
  • Steamboat Springs, CO
National Provider Identifier
1467011882
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COLORADO SENIOR RESIDENCES, INC
Doing business as
Casey's Pond Senior Living
Practice address
2855 Owl Hoot TRL
Steamboat Springs, CO 80487-9163
Phone
(970) 879-8855
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Brad Boatright
Title
Executive Director
Phone
(970) 457-4871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2855 Owl Hoot TRL
Steamboat Springs, CO 80487-9163

Mailing address

2855 Owl Hoot TRL
Steamboat Springs, CO 80487-9163
Phone (970) 879-8855

Other names 1

  • Casey's Pond Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1467011882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 OWL HOOT TRL",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879163",
            "telephone_number": "970-879-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OWL HOOT TRL",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879163",
            "telephone_number": "970-879-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SENIOR RESIDENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-457-4871"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey's Pond Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.