Active NPI
SSC Greeley Kenton Operating Company LLC
Doing business as Kenton Manor
- Respite Care
- Greeley, CO
National Provider Identifier
1659942688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- SSC GREELEY KENTON OPERATING COMPANY LLC
- Doing business as
- Kenton Manor
- Practice address
- 850 27TH Ave
Greeley, CO 80634-5899 - Phone
- (970) 353-1018
- NPI assigned
- Jul 9, 2021
- Last updated
- Jul 9, 2021
- Organization subpart
- Yes
- Parent organization
- KENTON MANOR
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelle Santoro
- Title
- Senior Director Accounts Receivable
- Phone
- (832) 467-5728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | NU | Primary |
Addresses
Primary practice location
850 27TH Ave
Greeley, CO 80634-5899
Mailing address
850 27TH Ave
Greeley, CO 80634-5899
Phone (970) 353-1018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000162102 | Medicaid | CO |
Other names 1
- Kenton Manor
National Provider Directory
National Provider Directory- Part of
- SSC Greeley Kenton Operating Company LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1659942688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 27TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345899",
"telephone_number": "970-353-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 27TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345899",
"telephone_number": "970-353-1018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSC GREELEY KENTON OPERATING COMPANY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KENTON MANOR",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "SANTORO",
"authorized_official_first_name": "KELLE",
"authorized_official_title_or_position": "SENIOR DIRECTOR ACCOUNTS RECEIVABLE",
"authorized_official_telephone_number": "832-467-5728"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000162102",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenton Manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greeley, CO
- Matt Squires
- Rhonda Dummit Squires, PHD FNP
- SSC Greeley Centennial Operating Company LLC (Centennial Healthcare Center)
- SSC Greeley Centennial Operating Company LLC (Centennial Healthcare Center)
- SSC Greeley Kenton Operating Company LLC (Kenton Manor)
- Samantha Stadjuhar Whitmore
- Sheldon Gregory Stadnyk, M.D.
- Katrina Raenae Staley, FNP-C
- Stephanie Rose Stamos
- McKenzie Stampfli, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.