Organization Active NPI

Golden West Communities, Inc.

  • Assisted Living Facility
  • Boulder, CO
National Provider Identifier
1477518470
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230379 Issued in CO
Legal business name
GOLDEN WEST COMMUNITIES, INC.
Practice address
1055 Adams Circle
Boulder, CO 80303
Phone
(303) 444-3967
Fax
(303) 939-0808
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Ms. Donna E Ruske
Title
Chief Administrative Officer
Phone
(303) 444-3967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-0555 CO
Assisted Living Facility 310400000X 230379 CO Primary

Addresses

Primary practice location

1055 Adams Circle
Boulder, CO 80303

Mailing address

1055 Adams Circle
Boulder, CO 80303
Phone (303) 444-3967

Other names 1

  • First Christian Manor, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1477518470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ADAMS CIRCLE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-444-3967",
            "fax_number": "303-939-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ADAMS CIRCLE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-444-3967",
            "fax_number": "303-939-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WEST COMMUNITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "RUSKE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "303-444-3967",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0555",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Christian Manor, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 23, 2016; 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.