Organization Active NPI

The Homestead at Montrose, Inc.

  • Assisted Living Facility
  • Montrose, CO
National Provider Identifier
1679059745
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE HOMESTEAD AT MONTROSE, INC.
Practice address
1819 Pavilion Dr
Montrose, CO 81401-5769
Phone
(970) 252-9359
Fax
(970) 252-9358
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Nancy Gavin
Title
Assistant Secretary
Phone
(952) 983-4249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1819 Pavilion Dr
Montrose, CO 81401-5769

Mailing address

1819 Pavilion Dr
Montrose, CO 81401-5769
Phone (970) 252-9359

Other names 1

  • The Homestead at Montrose 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
06D2049357Homestead of Montrose1819 Pavilion Dr, Montrose, CO 81401Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1679059745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PAVILION DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015769",
            "telephone_number": "970-252-9359",
            "fax_number": "970-252-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PAVILION DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015769",
            "telephone_number": "970-252-9359",
            "fax_number": "970-252-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOMESTEAD AT MONTROSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-983-4249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Homestead at Montrose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.