NPIMap

Organization Active NPI

Manorcare Health Services Boulder

  • Skilled Nursing Facility
  • Boulder, CO
National Provider Identifier
1467516740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1295 Issued in CO
Legal business name
MANORCARE HEALTH SERVICES BOULDER
Practice address
2800 Palo Pkwy
Boulder, CO 80301-1540
Phone
(303) 440-9100
Fax
(303) 440-9251
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Anthony Hanlon
Title
Administrator
Phone
(303) 440-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1295 CO Primary

Addresses

Primary practice location

2800 Palo Pkwy
Boulder, CO 80301-1540

Mailing address

2800 Palo Pkwy
Boulder, CO 80301-1540
Phone (303) 440-9100

Other identifiers 2

IdentifierTypeStateIssuer
1992742258OtherCONPI
63936364MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Manorcare Health SVCS P6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467516740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PALO PKWY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011540",
            "telephone_number": "303-440-9100",
            "fax_number": "303-440-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PALO PKWY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011540",
            "telephone_number": "303-440-9100",
            "fax_number": "303-440-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANORCARE HEALTH SERVICES BOULDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-440-9100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992742258",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63936364",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, 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.

Verify at the official NPI Registry.