Grand Valley Senior Daybreak Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GRAND VALLEY SENIOR DAYBREAK INC

Practice address

599 30 Rd
Grand Junction, CO 81504-5658

Phone

(970) 241-7798

Fax

(970) 241-7798

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Marilyn D Griffin

Title

Executive Director

Phone

(970) 241-7798

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1669645230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 30 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045658",
            "telephone_number": "970-241-7798",
            "fax_number": "970-241-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 30 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045658",
            "telephone_number": "970-241-7798",
            "fax_number": "970-241-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY SENIOR DAYBREAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-241-7798"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04140992",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Custodial Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.