NPIMap

Organization Active NPI

Wray Community Long Term Care Inc

Doing business as Hillcrest Care Center and The Towers

  • Assisted Living Facility
  • Wray, CO
National Provider Identifier
1477053890
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23R904 Issued in CO
Legal business name
WRAY COMMUNITY LONG TERM CARE INC
Doing business as
Hillcrest Care Center and The Towers
Practice address
360 Canyon Ridge Dr
Wray, CO 80758-8947
Phone
(970) 332-2203
Fax
(970) 332-4800
NPI assigned
Feb 13, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Jennie Sullivan
Title
Ceo
Phone
(970) 332-4811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23R904 CO Primary

Addresses

Primary practice location

360 Canyon Ridge Dr
Wray, CO 80758-8947

Mailing address

360 Canyon Ridge Dr
Wray, CO 80758-8947
Phone (970) 332-2203

Other names 1

  • Hillcrest Care Center and The Towers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wray Community Long Term Care Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1477053890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CANYON RIDGE DR",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807588947",
            "telephone_number": "970-332-2203",
            "fax_number": "970-332-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CANYON RIDGE DR",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807588947",
            "telephone_number": "970-332-2203",
            "fax_number": "970-332-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRAY COMMUNITY LONG TERM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-332-4811"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23R904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Care Center and The Towers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wray, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.