Active NPI
MRSC Co Aspen House Master Tenant, LLC
- Skilled Nursing Facility
- Loveland, CO
National Provider Identifier
1700536307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MRSC CO ASPEN HOUSE MASTER TENANT, LLC
- Practice address
- 2212 E 11TH St
Loveland, CO 80537-3231 - Phone
- (970) 635-9800
- Fax
- (970) 667-2362
- NPI assigned
- Mar 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Langendoen
- Title
- Manager/Coo
- Phone
- (310) 283-2731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2212 E 11TH St
Loveland, CO 80537-3231
Mailing address
3452 E Foothill Blvd Ste 720
Pasadena, CA 91107-6031
Phone (626) 796-8700
Other names 1
- Aspen House Memory Care Assisted Living
National Provider Directory
National Provider DirectoryLocations
2212 E 11th St
Loveland, CO 80537
Phone (970) 635-9800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648166400000",
"number": "1700536307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 E FOOTHILL BLVD STE 720",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076031",
"telephone_number": "626-796-8700",
"fax_number": "626-568-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 E 11TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805373231",
"telephone_number": "970-635-9800",
"fax_number": "970-667-2362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRSC CO ASPEN HOUSE MASTER TENANT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A",
"authorized_official_last_name": "LANGENDOEN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "MANAGER/COO",
"authorized_official_telephone_number": "310-283-2731"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspen House Memory Care Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.