Dexter Creek Healthcare, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

DEXTER CREEK HEALTHCARE, INC.

Practice address

850 27TH Ave
Greeley, CO 80634-5807

Phone

(970) 353-1018

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Broadview Health and Rehabilitation Center Doing business as

Tax ID family

Broadview Health and Rehabilitation Cent2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dexter Creek Healthcare, Inc.

  • Skilled Nursing Facility
  • Greeley, CO
  • NPI 1841033131
  NPD tax ID

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1700618642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 27TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345807",
            "telephone_number": "970-353-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 27TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345807",
            "telephone_number": "970-353-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER CREEK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadview Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymonde Destine Compere
• Ben Deturk, MI
• Debra A Dewall, PA-C
• Hannah Dewild, BA
• Michelle Dewitt
• Dexter Creek Healthcare, Inc.
• Danielle Deyoung
• Samantha Deyoung, PT, DPT
• Reena Dhakal, APN
• Taher Dhoon, DMD

• Respite Care in Greeley, CO
• Providers in Greeley, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.