Rural Rest Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL0424 Issued in CO

Legal business name

RURAL REST HOMES LLC

Doing business as

Tender Care Village of Flager

Practice address

419 Pawnee
Flager, CO 80815

Phone

(719) 765-4442

Fax

(719) 765-4086

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By 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. Ric Hansen

Title

Operating Manager

Phone

(970) 221-4039

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tender Care Village of Flager Doing business as

Tax ID family

Rural Rest Homes LLC2 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.

• Rural Rest Homes LLC

  dba Tender Care Village of Limon

  • Skilled Nursing Facility
  • Limon, CO
  • NPI 1891904348
  NPD tax ID

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629287172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "80547",
            "telephone_number": "970-481-8902",
            "fax_number": "866-881-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PAWNEE",
            "city": "FLAGER",
            "state": "CO",
            "postal_code": "80815",
            "telephone_number": "719-765-4442",
            "fax_number": "719-765-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL REST HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RIC",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "970-221-4039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL0424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38000393",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care Village of Flager",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.