Terry Lake Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TERRY LAKE ASSISTED LIVING LLC

Practice address

3629 Woodridge Rd
Fort Collins, CO 80524-1664

Phone

(970) 313-0896

Fax

(970) 313-0896

NPI assigned

Mar 20, 2026

Last updated

Mar 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Eric Shenk, MD

Title

Owner/Operator/Administrator

Phone

(970) 779-1759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1720936164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 KEENESBURG CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258270",
            "telephone_number": "970-313-0896",
            "fax_number": "970-313-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WOODRIDGE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805241664",
            "telephone_number": "970-313-0896",
            "fax_number": "970-313-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY LAKE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "SHENK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/OPERATOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "970-779-1759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Tennyson, FNP-BC, PMHNP
• Fnu Tenzin Nyima
• Michael J Tepp, M.A.
• Hailey Ternes, LPCC
• Elizabeth Terrell Phillips, LPC
• Kristin Brianna Terry, PA-C
• Nicholas Mark Terry, LPC
• Mark Andrew Teruel, MD
• Sandra Teske
• Morgan Rose Tessier, MSW

• Assisted Living Facility in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.