Organization Active NPI

Loveland I MSL LLC

  • Assisted Living Facility
  • Loveland, CO
National Provider Identifier
1679913479
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23E476 Issued in CO
Legal business name
LOVELAND I MSL LLC
Practice address
535 Douglas Ave
Loveland, CO 80537-5380
Phone
(970) 593-9800
Fax
(970) 593-9810
NPI assigned
Jun 26, 2013
Organization subpart
Yes
Parent organization
MBK SENIOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mr. Terry Hines Howard
Title
President
Phone
(949) 242-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23E476 CO Primary

Addresses

Primary practice location

535 Douglas Ave
Loveland, CO 80537-5380

Mailing address

4 Park PLZ
Suite 400
Irvine, CA 92614-8560
Phone (949) 242-1414

Other identifiers 3

IdentifierTypeStateIssuer
1578850590MedicaidUT
1407143423MedicaidUT
1568759488MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1679913479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ",
            "address_2": "SUITE 400",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926148560",
            "telephone_number": "949-242-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 DOUGLAS AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375380",
            "telephone_number": "970-593-9800",
            "fax_number": "970-593-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELAND I MSL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MBK SENIOR LIVING",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "HINES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-242-1410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23E476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578850590",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407143423",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568759488",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.