Organization Active NPI

Fort Collins Memory Care

  • Alzheimer Center (Dementia Center)
  • Fort Collins, CO
National Provider Identifier
1649064130
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
FORT COLLINS MEMORY CARE
Practice address
3150 Rock Creek Dr
Fort Collins, CO 80528-3162
Phone
(970) 372-5838
NPI assigned
Apr 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Kirstyn Wilson
Title
Executive Director
Phone
(970) 372-5838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

3150 Rock Creek Dr
Fort Collins, CO 80528-3162

Mailing address

3150 Rock Creek Dr
Fort Collins, CO 80528-3162
Phone (970) 372-5838

Other names 1

  • Aspens at Fort Collins Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2318027Aspens at Fort Collins3150 Rock Creek Dr, Fort Collins, CO 80528Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1649064130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROCK CREEK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283162",
            "telephone_number": "970-372-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROCK CREEK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283162",
            "telephone_number": "970-372-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIRSTYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-372-5838"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspens at Fort Collins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.