Organization Active NPI

LLB-LLC

  • Assisted Living Facility
  • Grand Junction, CO
National Provider Identifier
1538174487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-0685 Issued in CO
Legal business name
LLB-LLC
Doing business as
BOOKCLIFF MANOR ASSISTED LIVING
Practice address
2897 Orchard Ave
Grand Junction, CO 81501-5344
Phone
(970) 245-0788
Fax
(970) 245-6945
NPI assigned
Jul 29, 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. Bruce A. Burroughs
Title
General Managing Partner
Phone
(970) 243-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL-0685 CO Primary

Addresses

Primary practice location

2897 Orchard Ave
Grand Junction, CO 81501-5344

Mailing address

433 N 25TH St
Grand Junction, CO 81501-7954
Phone (970) 243-1503

Other identifiers 1

IdentifierTypeStateIssuer
59971894MedicaidCO

Other names 1

  • BOOKCLIFF MANOR ASSISTED LIVING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538174487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 25TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017954",
            "telephone_number": "970-243-1503",
            "fax_number": "970-245-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2897 ORCHARD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015344",
            "telephone_number": "970-245-0788",
            "fax_number": "970-245-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLB-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "GENERAL MANAGING PARTNER",
        "authorized_official_telephone_number": "970-243-1503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59971894",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOOKCLIFF MANOR ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, 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.