Active NPI
Loveland I MSL LLC
- Assisted Living Facility
- Loveland, CO
National Provider Identifier
1679913479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 23E476
- 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 LIVING
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578850590 | Medicaid | UT | |
| 1407143423 | Medicaid | UT | |
| 1568759488 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI 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.