Active NPI
Rose Terrace Health & Rehab, Inc
- Skilled Nursing Facility
- Commerce City, CO
National Provider Identifier
1467424457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROSE TERRACE HEALTH & REHAB, INC
- Practice address
- 5230 E 66TH Way
Commerce City, CO 80022-2442 - Phone
- (303) 289-1848
- Fax
- (303) 286-1017
- NPI assigned
- Feb 3, 2006
- 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
- Gary R Trebert
- Title
- Ceo
- Phone
- (817) 359-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5230 E 66TH Way
Commerce City, CO 80022-2442
Mailing address
PO Box 155635
Fort Worth, TX 76155-0635
Phone (817) 359-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83387820 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467424457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155635",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761550635",
"telephone_number": "817-359-2000",
"fax_number": "817-359-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 E 66TH WAY",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800222442",
"telephone_number": "303-289-1848",
"fax_number": "303-286-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE TERRACE HEALTH & REHAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TREBERT",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-359-2000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83387820",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- 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.