SSC Durango Operating Company LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

1292 Issued in CO

Legal business name

SSC DURANGO OPERATING COMPANY LLC

Doing business as

Four Corners Health Care Center

Practice address

2911 Junction St
Durango, CO 81301-4134

Phone

(970) 247-2215

Fax

(970) 259-6534

NPI assigned

Apr 10, 2018

Organization subpart

Yes

Parent organization

SSC DURANGO OPEATING COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Ken Pitts

Title

Director Reimbursement

Phone

(832) 467-6793

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Four Corners Health Care Center Doing business as

Part of

SSC Durango Operating Company LLC

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1649777244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415162",
            "telephone_number": "832-467-6000",
            "fax_number": "832-467-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 JUNCTION ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014134",
            "telephone_number": "970-247-2215",
            "fax_number": "970-259-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC DURANGO OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSC DURANGO OPEATING COMPANY LLC",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "832-467-6793"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000159514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Corners Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Corners Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spine by Design Inc
• Spine Colorado PC
• Kurt Spitzer I, PHARM.D.
• Melaney Sreenan, PH.D. M.S.W.
• SSC Durango Operating Company LLC (Four Corners Health Care Center)
• Amanda Beth St Pierre, DPT
• Sarah St. John
• Stacy Reuille-Dupont, LLC
• Patricia Anne Stady, RN
• Penney Sutcliffe Stahl

• Respite Care in Durango, CO
• Providers in Durango, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.