Wheat Ridge Assisted Living Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 1007 Issued in CO

Legal business name

WHEAT RIDGE ASSISTED LIVING CORP

Doing business as

The Retreat at Highlands

Practice address

3315 Sheridan Blvd
Wheat Ridge, CO 80212

Phone

(303) 462-0934

Fax

(303) 462-0943

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robin R Avery

Title

Executive Director

Phone

(303) 462-0934

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Retreat at Highlands Doing business as

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669589693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SHERIDAN BLVD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "303-462-0934",
            "fax_number": "303-462-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SHERIDAN BLVD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80212",
            "telephone_number": "303-462-0934",
            "fax_number": "303-462-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT RIDGE ASSISTED LIVING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-462-0934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL 1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55529721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retreat at Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Wheat Ridge, CO
• Providers in Wheat Ridge, 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.