La Junta LTC Investors

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0239 Issued in CO

Legal business name

LA JUNTA LTC INVESTORS

Practice address

909 W 10TH St
La Junta, CO 81050-2168

Phone

(719) 384-9333

Fax

(719) 384-9393

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Donald Kanen

Title

Cfo

Phone

(719) 589-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Gardens at La Junta Doing business as

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639130727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-589-2063",
            "fax_number": "719-589-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W 10TH ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502168",
            "telephone_number": "719-384-9333",
            "fax_number": "719-384-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JUNTA LTC INVESTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-589-2063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03805565",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Gardens at La Junta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Jenifer Korbitz, LPC
• Missouri Krantz, NP-C
• Mendi Krueger, CCC-SLP
• La Junta Chiropractic Center, P.C.
• La Junta Health Service District
• La Junta Rural Fire Protection District
• La Junta Rural Fire Protection District
• Rosa Linda Lacy, DDS
• Lock Monkey Inc
• Loma Vista General & Family Practice PC

• Assisted Living Facility in La Junta, CO
• Providers in La Junta, 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 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.