Birch Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23Y767 Issued in CO

Legal business name

BIRCH ASSISTED LIVING

Practice address

1819 Birch Ave
Greeley, CO 80631-6142

Phone

(970) 346-1150

Fax

(970) 346-1151

NPI assigned

May 10, 2018

Last updated

May 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Supit

Title

Co-Owner

Phone

(720) 296-0724

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1487143996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BIRCH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316142",
            "telephone_number": "720-296-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BIRCH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316142",
            "telephone_number": "970-346-1150",
            "fax_number": "970-346-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "SUPIT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-296-0724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23Y767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "23Y767",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Michelle Billings, PTA
• Cindy Binger, PEER
• Jason Dennis Bingham, CPFS
• Ryan Sean Bingham, DDS
• Cameron C Biondo, MA, LPC, LAC
• Caleb M Birchwell
• Jessica Birchwell
• Sabre Birdsell
• Dustin Michael Birdwell, LPC
• Bite for Bite Nutrition Counseling, LLC

• Assisted Living Facility in Greeley, CO
• Providers in Greeley, CO by specialty
• Assisted Living Facility in Colorado

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