Organization Active NPI

Senior Care Specialists Inc

  • Adult Health Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1487823894
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
81724 Issued in CO
Legal business name
SENIOR CARE SPECIALISTS INC
Practice address
2320 43Rd Avenue CT
Greeley, CO 80634-3810
Phone
(970) 330-8815
Fax
(970) 330-0202
NPI assigned
Feb 29, 2008
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Ms. Marilyn K Morris, FNP-CNPI 1437299567
Title
Ceo
Phone
(970) 330-8815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 81724 CO Primary

Addresses

Primary practice location

2320 43Rd Avenue CT
Greeley, CO 80634-3810

Mailing address

2320 43Rd Avenue CT
Greeley, CO 80634-3810
Phone (970) 330-8815

Other identifiers 1

IdentifierTypeStateIssuer
91123739MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1487823894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 43RD AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343810",
            "telephone_number": "970-330-8815",
            "fax_number": "970-330-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 43RD AVENUE CT",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343810",
            "telephone_number": "970-330-8815",
            "fax_number": "970-330-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-330-8815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "81724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91123739",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.