NPIMap

Organization Active NPI

Red Oak Rehabilitation and Care Community, LLC

  • Assisted Living Facility
  • Holyoke, CO
National Provider Identifier
1700418191
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RED OAK REHABILITATION AND CARE COMMUNITY, LLC
Practice address
816 S Interocean Ave
Holyoke, CO 80734-2120
Phone
(970) 854-2251
Fax
(970) 854-2610
NPI assigned
Feb 4, 2020
Organization subpart
Yes
Parent organization
RED OAK REHABILITATION AND CARE COMMUNITY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Mary Koretke
Title
Director of Reimbursement
Phone
(303) 238-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

816 S Interocean Ave
Holyoke, CO 80734-2120

Mailing address

12136 W Bayaud Ave Ste 200
Lakewood, CO 80228-2115
Phone (303) 238-3838

Other names 1

  • Carriage House Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red Oak Rehabilitation and Care Community LLC2 organizations share this tax ID, including this one
Part of
Red Oak Rehabilitation and Care Community LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1700418191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 W BAYAUD AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282115",
            "telephone_number": "303-238-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S INTEROCEAN AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807342120",
            "telephone_number": "970-854-2251",
            "fax_number": "970-854-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK REHABILITATION AND CARE COMMUNITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED OAK REHABILITATION AND CARE COMMUNITY, LLC",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "303-238-3838"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holyoke, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.