NPIMap

Organization Active NPI

Crowley County Nursing Center

  • Skilled Nursing Facility
  • Ordway, CO
National Provider Identifier
1568052363
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CROWLEY COUNTY NURSING CENTER
Practice address
401 Idaho Ave
Ordway, CO 81063-1328
Phone
(719) 267-3561
Fax
(719) 267-3441
NPI assigned
Jan 25, 2021
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Mr. Scott A Nelson
Title
Administrator
Phone
(719) 267-3561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

401 Idaho Ave
Ordway, CO 81063-1328

Mailing address

PO Box 489
Ordway, CO 81063-0489
Phone (719) 267-3561

Other identifiers 1

IdentifierTypeStateIssuer
04139945MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Crowley County Nursing Center2 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.

Practitioners & affiliated clinicians

Practitioners 7

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": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1568052363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "ORDWAY",
            "state": "CO",
            "postal_code": "810630489",
            "telephone_number": "719-267-3561",
            "fax_number": "719-267-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 IDAHO AVE",
            "city": "ORDWAY",
            "state": "CO",
            "postal_code": "810631328",
            "telephone_number": "719-267-3561",
            "fax_number": "719-267-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY COUNTY NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-267-3561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04139945",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ordway, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.